Individual provider · Type 1 NPI

Jennifer Michelle Branscome, PhD

Psychologist · Fleming Island, FL

NPI number 1790240984 Active

Practice location

1747 Baptist Clay Dr Ste 350
Fleming Island, FL 32003-8504

Fax (904) 390-7397

Mailing address

PO Box 748519
Atlanta, GA 30374-8519

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPY11159 (FL)
Psychologist 103T00000XPSY003898 (GA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1790240984

Jennifer Michelle Branscome, PhD's National Provider Identifier is 1790240984, issued on Feb 1, 2019. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Fleming Island, FL. The record was last updated on Sep 10, 2025.