Individual
JENNIFER JAVONNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1220 MULL ST, JACKSONVILLE, FL 32205-6316
(904) 703-4606
Mailing address
PO BOX 61072, JACKSONVILLE, FL 32236-1072
(904) 703-4606
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9483431
FL
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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