Individual
BEVERLY B. NYSEWANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN ARNP
Contact information
Practice address
2080 CHILD STREET, INTERNAL MEDICINE, JACKSONVILLE, FL 32214
(904) 542-7310
(904) 542-7913
Mailing address
2080 CHILD STREET, NAVAL HOSPITAL JACKSONVILLE INTERNAL MEDICINE CLINIC, JACKSONVILLE, FL 32214
(904) 542-7310
(904) 542-7913
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP3342232
FL
Other
Enumeration date
07/04/2006
Last updated
07/11/2013
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