Jucknath, Beverly Suzanne
Jucknath, Beverly Suzanne is an individual health care provider with primary practice located at 2635 N 7Th St , Grand Junction CO 81501-8209. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Jucknath, Beverly Suzanne can be contacted via phone (970) 298-2273.Contact Information
Primary practice address
2635 N 7Th St
Grand Junction CO 81501-8209
Phone: (970) 298-2273
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | APRN11003292 | Florida |
| Nursing Service Providers / Critical Care Medicine | 163WC0200X | RN9361508 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 16816 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | GAA-NP002442 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | C-APN.0102449-C-NP | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | APRN11003292 | Florida |
Profile Details
| NPI number | 1235693268 |
|---|---|
| LBN Legal business name | Jucknath, Beverly Suzanne |
| Credentials | APRN-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2019 |
| Last updated | Feb 6th, 2026 - about 8 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235693268 | NPPES |
| Florida | MEDICAID | 106459800 |
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