Individual
JENNIFER SUSAN HUNTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 NE COUNTY ROAD 255, LEE, FL 32059-7563
(850) 519-2658
Mailing address
PO BOX 9458, LEE, FL 32059-0458
(850) 519-2658
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
6906899
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311ZA0620X
AHCA
FL
Enumeration date
04/26/2017
Last updated
04/26/2017
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