Everett, Jeannine Louise

Everett, Jeannine Louise is an individual health care provider with primary practice located at 43 Barkley Cir Ste. 201, Fort Myers FL 33907-4510. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Everett, Jeannine Louise can be contacted via phone (239) 936-5250.

Contact Information

Primary practice address
43 Barkley Cir Ste. 201 Fort Myers FL 33907-4510
Phone: (239) 936-5250
Fax: (239) 936-9970
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 28140609A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 70000188A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP9428067 Florida

Profile Details

NPI number 1083614952
LBN Legal business name Everett, Jeannine Louise
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Sep 9th, 2022 - about 4 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 1083614952 NPPES
Florida MEDICAID 017341900

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