Individual
JENNIFER M. HINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P. A.
Contact information
Practice address
1555 KINGSLEY AVE, SUITE 503, ORANGE PARK, FL 32073-9207
(904) 278-5088
(904) 264-4910
Mailing address
998 BROWNS RD, MIDDLEBURG, FL 32068-3306
(904) 555-1212
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
PA9103166
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
296833
AVMED
FL
01
—
P00239935
RAILROAD MEDICARE
FL
01
—
Y05AG
BCBS
FL
Enumeration date
05/09/2006
Last updated
10/16/2023
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