Individual
JENNIFER HERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
259 BILL FRANCE BLVD STE 200, DAYTONA BEACH, FL 32114-1316
(386) 852-4144
Mailing address
53 CRESTWOOD CT, ORMOND BEACH, FL 32174-4808
(386) 852-4144
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1
FL
Other
Enumeration date
10/23/2012
Last updated
07/23/2014
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