Individual
MRS. JENIFFER REVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOULA
Contact information
Practice address
9200 NW 39TH AVE, STE 130 - 3289, GAINESVILLE, FL 32606-3210
(352) 559-5062
Mailing address
9200 NW 39TH AVE STE 1303289, GAINESVILLE, FL 32606-7331
(352) 559-5062
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
09/27/2019
Last updated
02/01/2022
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