Individual
CASSANDRA JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, LPN
Contact information
Practice address
6144 GAZEBO PARK PL S STE 101, JACKSONVILLE, FL 32257-1086
(904) 260-3011
Mailing address
6144 GAZEBO PARK PL S STE 101, JACKSONVILLE, FL 32257-1086
(904) 260-3011
(904) 260-4849
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PN1278991
FL
225700000X
Massage Therapist
Primary
MA54006
FL
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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