Fitzpatrick, Betty Jean

Fitzpatrick, Betty Jean is an sole proprietor health care provider with primary practice located at 15901 Bass Rd Ste 102 , Fort Myers FL 33908-3838. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Fitzpatrick, Betty Jean can be contacted via phone (239) 343-9890.

Contact Information

Primary practice address
15901 Bass Rd Ste 102 Fort Myers FL 33908-3838
Phone: (239) 343-9890
Fax: (239) 343-4191
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2022000108 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN11018336 Florida

Profile Details

NPI number 1871246249
LBN Legal business name Fitzpatrick, Betty Jean
Credentials RN, MSN, PNP-PC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2022
Last updated Feb 9th, 2024 - about 2 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 1871246249 NPPES
Florida MEDICAID 120983300

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