Individual
JENNIFER EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 E HIGHWAY 20, NICEVILLE, FL 32578-8826
(850) 897-4400
Mailing address
1005 MAR WALT DR, FORT WALTON BEACH, FL 32547-6707
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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