Individual
JENNIFER A EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
115 K D REVELL RD, WAUCHULA, FL 33873-2051
(863) 773-3147
(863) 773-0978
Mailing address
115 K D REVELL RD, WAUCHULA, FL 33873-2051
(863) 773-3147
(863) 773-0978
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN1246101
FL
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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