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1386999670
JENIFER DERSTINE
JACKSONVILLE, FL
NPI
1386999670
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP9203769)
Enumeration Date
2012-07-23
Last Update Date
2021-12-04
Business Address
JENIFER DERSTINE ARNP
1028 DUNN AVE
JACKSONVILLE, FL 32218-4830
Phone number: 904-766-7606
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Mailing Address
JENIFER DERSTINE ARNP
6101 BLUE LAGOON DR STE 400
MIAMI, FL 33126-2051
Phone number: 305-500-2000
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