Individual
JENIFER B. STOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
368 NE FRANKLIN ST, LAKE CITY, FL 32055-3088
(386) 754-8000
Mailing address
5665 NEW NORTHSIDE DR NW, SUITE 320, ATLANTA, GA 30328-5831
(770) 874-5439
(770) 874-5483
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 9102766
FL
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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