Provider Demographics
NPI:1154827079
Name:BATCH, JENNIFER TANIA (MD, BS)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:TANIA
Last Name:BATCH
Suffix:
Gender:F
Credentials:MD, BS
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:653-1 W 8TH ST FL 2
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32209-6511
Mailing Address - Country:US
Mailing Address - Phone:904-244-7514
Mailing Address - Fax:904-244-5650
Practice Address - Street 1:653-1 W 8TH ST FL 2
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32209-6511
Practice Address - Country:US
Practice Address - Phone:904-244-7514
Practice Address - Fax:904-244-5650
Is Sole Proprietor?:No
Enumeration Date:2018-03-30
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME165535207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism