Individual
MRS. BETHANIE M SIMMONS BECIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3333 W 20TH ST, JACKSONVILLE, FL 32254-1703
(904) 695-9145
Mailing address
3333 W 20TH ST, JACKSONVILLE, FL 32254-1703
(904) 695-9145
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9263008
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN9263008
ADVANCED PRACTICE REGISTERED NURSE
FL
Enumeration date
12/07/2010
Last updated
02/28/2022
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