Individual
MRS. JENNIFER LYNNE KITTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
128 HIGHLAND PKWY STE 200, PICAYUNE, MS 39466-5578
(601) 358-9630
(601) 358-9640
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 358-9630
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
903118
MS
363LF0000X
Family Nurse Practitioner
903118
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04321700
—
MS
Enumeration date
03/04/2019
Last updated
11/08/2024
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