Provider Demographics
NPI:1952135907
Name:GILMAN, JENNIFER (NBC-HWC, FMCHC, MH)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:GILMAN
Suffix:
Gender:F
Credentials:NBC-HWC, FMCHC, MH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 4TH ST N STE 201
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-3889
Mailing Address - Country:US
Mailing Address - Phone:727-788-4112
Mailing Address - Fax:
Practice Address - Street 1:136 4TH ST N STE 201
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-3889
Practice Address - Country:US
Practice Address - Phone:727-788-4112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-30
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach