Individual
TERESA JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13439 KENT BRADLEY ST, DADE CITY, FL 33525-5251
(813) 330-8321
Mailing address
13439 KENT BRADLEY ST, DADE CITY, FL 33525-5251
(813) 330-8321
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-307658
FL
374J00000X
Doula
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
01/07/2021
Last updated
05/24/2025
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