Individual
BRITTNEE JERNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
263 SW MUSKET PL, LAKE CITY, FL 32025-2142
(407) 415-5735
Mailing address
263 SW MUSKET PL, LAKE CITY, FL 32025-2142
(407) 415-5735
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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