Individual
MRS. JENNIFER MARIA LITTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3027 SAN DIEGO RD, JACKSONVILLE, FL 32207-3691
(904) 304-6627
Mailing address
PO BOX 5616, JACKSONVILLE, FL 32247-5616
(904) 304-6627
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679578322
—
FL
Enumeration date
03/02/2020
Last updated
03/02/2020
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