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Stephanie D Jernighan

Developmental Therapist in Palm Bay, FL. Individual provider (NPI-1).

NPI number1962076331
StatusActive
Last updated in NPPESJan 11, 2024

Details

NPI
1962076331
Entity type
Individual (NPI-1)
Name
Mrs. Stephanie D Jernighan
Sex
Female
Sole proprietor
Yes
Enumeration date
May 19, 2021
Certification date
Jan 11, 2024
Last updated
Jan 11, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental Therapist––Yes
171M00000X Case Manager/Care Coordinator––
171400000X Health & Wellness Coach––
252Y00000X Early Intervention Provider Agency––

Practice location

2155 Palm Bay Rd Ne Ste 7
Palm Bay, FL 32905-2907

Phone 321-220-0862

Mailing address

2155 Palm Bay Rd Ne Ste 7
Palm Bay, FL 32905-2907

Phone 321-220-0862

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Other Developmental Therapist providers in Palm Bay, FL

All 9 Developmental Therapist providers in Palm Bay · All 1,789 providers in Palm Bay

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