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Individual

JENNIFER LYNN BATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1920 LAKELAND HILLS BLVD, LAKELAND, FL 33805-2902
(863) 683-4661
(863) 683-2579
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(863) 683-4661
(863) 683-2579

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN2718432
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
304441600
FL
Enumeration date
02/14/2006
Last updated
08/30/2021
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