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Individual

MS. AMANDA L JENNISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
13220 BELCHER RD S UNIT 11, LARGO, FL 33773-1678
(727) 533-2242
(727) 533-2252
Mailing address
5400 PINEHURST DR, SPRING HILL, FL 34606-3833
(352) 277-5305
(352) 616-0926

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11026737
FL
363LF0000X
Family Nurse Practitioner
RN9293510
FL

Other

Enumeration date
05/10/2023
Last updated
06/12/2023
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