Individual
MS. JENNIFER LEIGH PORTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8383 N DAVIS HWY, PENSACOLA, FL 32514-6039
(850) 494-3212
Mailing address
8383 N DAVIS HWY, PENSACOLA, FL 32514-6088
(850) 494-3212
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
PA9114783
FL
363AM0700X
Medical Physician Assistant
Primary
PA91114783
FL
Other
Enumeration date
05/21/2021
Last updated
12/14/2021
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