Provider Demographics
NPI:1427394964
Name:ST.HILAIRE, JENNIFER
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:ST.HILAIRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12250 TAMIAMI TRL E STE 203
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34113-8421
Mailing Address - Country:US
Mailing Address - Phone:239-682-7339
Mailing Address - Fax:239-300-4981
Practice Address - Street 1:12250 TAMIAMI TRL E STE 203
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34113-8421
Practice Address - Country:US
Practice Address - Phone:239-682-7339
Practice Address - Fax:239-300-4981
Is Sole Proprietor?:No
Enumeration Date:2013-01-02
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical