Individual
MS. BEVERLY SUZANNE JUCKNATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
2635 N 7TH ST, GRAND JUNCTION, CO 81501-8209
(970) 298-2273
Mailing address
304 E PINE ST UNIT 5355, LAKELAND, FL 33801-4969
(407) 496-6186
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN9361508
FL
363L00000X
Nurse Practitioner
APRN11003292
FL
363L00000X
Nurse Practitioner
C-APN.0102449-C-NP
CO
363L00000X
Nurse Practitioner
GAA-NP002442
GA
363LA2200X
Adult Health Nurse Practitioner
APRN11003292
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
16816
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106459800
—
FL
Enumeration date
01/23/2019
Last updated
02/06/2026
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