Provider Demographics
NPI:1699301317
Name:STRICKLAND, JENNIFER ESTHER (ARNP)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ESTHER
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3219 SHADOW CREEK RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32226-2386
Mailing Address - Country:US
Mailing Address - Phone:904-444-2159
Mailing Address - Fax:
Practice Address - Street 1:3219 SHADOW CREEK RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32226-2386
Practice Address - Country:US
Practice Address - Phone:904-444-2159
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-13
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF03200227364SF0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health