Bevan, Jeffrey L

Bevan, Jeffrey L is an individual health care provider with primary practice located at 70 Turin Ter Ste 110 , St Augustine FL 32092-0849. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Bevan, Jeffrey L can be contacted via phone (904) 819-7200.

Contact Information

Primary practice address
70 Turin Ter Ste 110 St Augustine FL 32092-0849
Phone: (904) 819-7200
Fax: (904) 814-8936
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9438247 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.08962 Ohio

Profile Details

NPI number 1700992898
LBN Legal business name Bevan, Jeffrey L
Credentials DNP, APRN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Aug 12th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700992898 NPPES
Ohio Other CD3781 MEDICARE RAILROAD
Ohio MEDICAID 2761300 MEDICARE RAILROAD

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