Individual
MS. JENNIFER L LISKA CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1507 S HIAWASSEE RD STE 107, ORLANDO, FL 32835-5706
(407) 445-9545
(407) 445-9545
Mailing address
1507 S HIAWASSEE RD STE 107, ORLANDO, FL 32835-5706
(407) 445-9545
(407) 299-6160
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
2279
WI
363LG0600X
Gerontology Nurse Practitioner
Primary
11002903
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41252100
—
WI
Enumeration date
02/21/2007
Last updated
11/18/2019
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