Individual
DR. JEANETTE A BEVILACQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
8660 COLLEGE PKWY, 230, FORT MYERS, FL 33919-4886
(239) 433-1403
(239) 433-5303
Mailing address
8660 COLLEGE PKWY, 230, FORT MYERS, FL 33919-4886
(239) 433-1403
(239) 433-5303
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
ARNP 920292
FL
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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