Provider Demographics
NPI:1932638350
Name:BILLS, JENNIFER JO (BSW, MA)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:JO
Last Name:BILLS
Suffix:
Gender:F
Credentials:BSW, MA
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8800 49TH ST N STE 106
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33782-5332
Mailing Address - Country:US
Mailing Address - Phone:727-544-0044
Mailing Address - Fax:727-545-0125
Practice Address - Street 1:8800 49TH STREET NORTH
Practice Address - Street 2:SUITE 106
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33782-1804
Practice Address - Country:US
Practice Address - Phone:727-544-0044
Practice Address - Fax:727-545-0125
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL07367B70333OtherCIGNA/ HEALTH COMP