Individual
MS. BEVERLY JEAN PETTY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
NAVAL HOSPITAL, OCCUPATIONAL HEALTH CLINIC, 2080 CHILD STREET, JACKSONVILLE, FL 32214-0001
(904) 542-3500
Mailing address
5337 TILTING OAKS CT E, JACKSONVILLE, FL 32258-3422
(904) 268-7713
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2942
FL
Other
Enumeration date
01/17/2006
Last updated
07/08/2007
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