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Individual

JENNIFER LYNN RICHARDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.A.-C

Contact information

Practice address
4511 N DAVIS HWY, SUITE C-1, PENSACOLA, FL 32503-2734
(850) 477-3252
(850) 477-2659
Mailing address
4511 N DAVIS HWY # C-1, PENSACOLA, FL 32503-2720
(850) 477-3252
(850) 477-2659

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9101066
FL

Other

Enumeration date
08/18/2005
Last updated
01/21/2014
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