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NPI Code Detail

MEDICARE: DR. JENNA MARIE DRISCOLL MD

MEDICARE: DR. JENNA MARIE DRISCOLL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianME0158228FL
2208M00000XHospitalist PhysicianME0158228FL

General Provider Information

NPI Number : 1235754979
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNA MARIE DRISCOLL MD
Provider Business Mailing Address
First Line : 1 SHIRCLIFF WAY
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32204-4748
Country : US
Telephone Number : 904-308-3960
Fax Number :
Provider Business Practice Location Address
First Line : 1 SHIRCLIFF WAY
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32204-4748
Country : US
Telephone Number : 904-308-3960
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2020
Last Update Date : 03/03/2026

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