Individual
JENNIFER LYNN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
202 F ST APT B, ST AUGUSTINE, FL 32080-8805
(352) 275-9865
Mailing address
202 F ST APT B, ST AUGUSTINE, FL 32080-8805
(352) 275-9865
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA251215
FL
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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