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Individual

MS. JEANNINE LOUISE EVERETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
43 BARKLEY CIR, STE. 201, FORT MYERS, FL 33907-4510
(239) 936-5250
(239) 936-9970
Mailing address
6 PERROTTI PL, PALM COAST, FL 32164-7452
(239) 936-5250
(239) 936-9970

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
28140609A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP9428067
FL
364S00000X
Clinical Nurse Specialist
70000188A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
017341900
FL
Enumeration date
07/21/2005
Last updated
09/09/2022
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