Individual
DR. JENNIFER NICOLE STROUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 DOCTORS DR STE P, DOUGLAS, GA 31533-2202
(912) 384-9460
(912) 393-1239
Mailing address
PO BOX 1377, DOUGLAS, GA 31534-1377
(912) 384-1477
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
088823
GA
208000000X
Pediatrics Physician
ME131398
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003250903A
—
GA
05
—
024304400
—
FL
Enumeration date
05/18/2015
Last updated
06/23/2021
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