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Individual

MRS. STEPHANIE D JERNIGHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2155 PALM BAY RD NE STE 7, PALM BAY, FL 32905-2907
(321) 220-0862
Mailing address
2155 PALM BAY RD NE STE 7, PALM BAY, FL 32905-2907
(321) 220-0862

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
171M00000X
Case Manager/Care Coordinator
222Q00000X
Developmental Therapist
Primary
252Y00000X
Early Intervention Provider Agency

Other

Enumeration date
05/19/2021
Last updated
01/11/2024
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