Individual
JENNIE LAUREL MERCHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1707 RIGGINS RD, TALLAHASSEE, FL 32308-5317
(850) 877-4134
Mailing address
PO BOX 13859, TALLAHASSEE, FL 32317-3589
(850) 877-4134
(850) 402-9130
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/24/2017
Last updated
08/28/2017
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