Fordan-Herman, Jennifer E

Fordan-Herman, Jennifer E is an individual health care provider with primary practice located at 4611 Us Highway 17 , Fleming Island FL 32003-8245. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fordan-Herman, Jennifer E can be contacted via phone (904) 264-4333.

Contact Information

Primary practice address
4611 Us Highway 17 Fleming Island FL 32003-8245
Phone: (904) 264-4333
Fax: (904) 264-4301
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME0070212 Florida

Profile Details

NPI number 1255318895
LBN Legal business name Fordan-Herman, Jennifer E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2005
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255318895 NPPES
Alabama MEDICAID 009912068

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