Individual
MS. JENNIFER DIANE MCCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
16213 NW US HIGHWAY 441, ALACHUA, FL 32615-6399
(386) 462-1125
Mailing address
PO BOX 118205, DEPARTMENT OF APPLIED PHYSIOLOGY & KINESIOLOGY, GAINESVILLE, FL 32611-8205
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 2111
FL
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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