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Ms. Beverly Suzanne Jucknath, APRN-C
Nurse Practitioner in Tampa, Florida
NPI 1235693268

Beverly Suzanne Jucknath is a Nurse Practitioner based in Tampa, FL. Beverly Suzanne Jucknath practices in Tampa, FL and has the professional credentials of APRN-C. The NPI Number for Beverly Suzanne Jucknath is 1235693268 and holds a License No. RN9361508 (Florida).

The current practice location address for Beverly Suzanne Jucknath is 3003 W Dr Martin Luther King Jr Blvd Fl 2, Tampa, FL and can be reached out via phone at 813-321-6580 and via fax at 813-443-8185.

Location: 3003 W Dr Martin Luther King Jr Blvd Fl 2, Tampa, FL, 33607-6307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235693268
Provider Name
Beverly Suzanne Jucknath
Credential
APRN-C
Provider Entity Type
Individual
Gender
Female
Address
3003 W Dr Martin Luther King Jr Blvd Fl 2, Tampa, FL, 33607-6307
Phone Number
813-321-6580
Fax Number
813-443-8185
Provider Enumeration Date
01/23/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
106459800 05 FL
institution
Provider Business Practice Location Address Details
Address
3003 W Dr Martin Luther King Jr Blvd Fl 2
City
Tampa
State
Florida
Zip
33607-6307
Phone Number
813-321-6580
Fax Number
813-443-8185
person
Provider Business Mailing Address Details
Address
3003 W Dr Martin Luther King Jr Blvd Fl 2
City
Tampa
State
Florida
Zip
33607-6307
Phone Number
813-321-6580
Fax Number
813-443-8185
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Critical Care Medicine
Taxonomy
163WC0200X
License No.
APRN11003292 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
APRN11003292 (Florida)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
RN9361508 (Florida)
Definition
Definition to come...
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