person
Lawanda Bevel Jackson, APRN
Psychiatric/Mental Health Nurse Practitioner in St Petersburg, Florida
NPI 1558008789

Lawanda Bevel Jackson is a Psychiatric/Mental Health Nurse Practitioner based in St Petersburg, FL and is specialized in Psychiatric/Mental Health. Lawanda Bevel Jackson practices in St Petersburg, FL and has the professional credentials of APRN. The NPI Number for Lawanda Bevel Jackson is 1558008789 and holds a License No. 9365258 (Florida).

The current practice location address for Lawanda Bevel Jackson is 1685 61St Ave S, St Petersburg, FL and can be reached out via phone at 727-290-8460.

Location: 1685 61St Ave S, St Petersburg, FL, 33712-4920
person
Provider Profile Details
NPI Number
1558008789
Provider Name
Lawanda Bevel Jackson
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
1685 61St Ave S, St Petersburg, FL, 33712-4920
Phone Number
727-290-8460
Fax Number
Provider Enumeration Date
05/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1685 61St Ave S
City
State
Zip
33712-4920
Phone Number
727-290-8460
Fax Number
person
Provider Business Mailing Address Details
Address
1685 61St Ave S
City
State
Zip
33712-4920
Phone Number
727-290-8460
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
9365258 (Florida)
Definition
Definition to come...
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