Individual
JENNIFER JEANE SIKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8391 N DAVIS HWY, PENSACOLA, FL 32514-6048
(850) 494-5403
(850) 494-4910
Mailing address
8391 N DAVIS HWY, PENSACOLA, FL 32514-6048
(850) 494-5403
(850) 494-4910
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PTA13545
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA13545
PTA LICENSE
FL
Enumeration date
08/05/2006
Last updated
09/08/2008
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