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Jordan Hennemyre
NPI 1639922263 · on the registry since 2024
Practice
- Address
- 700 6th St S
St. Petersburg, FL 33701 - Phone
- (727) 893-6116
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida