| Doctor Name: | JENNIFER RICHARDS |
| NPI Number: | 1003291923 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP9269226 |
| Business Practice Address: | 2130 Nw 115th Ter Pembroke Pines, FL - 330262023 |
| Business Phone Number: | 9548018566 |
| Business Fax Number: | |
| Mailing Address: | 5430 Nw 33rd Ave, Suite 106 FORT LAUDERDALE |
| State: | FL |
| Postal Code: | 333096349 |
| Phone Number: | 9548018566 |
| Fax Number: | |
| NPI Enumeration Date: | 07/21/2015 |
| NPI Last Update Date: | 06/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ARNP9269226 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |