Individual
MRS. ELIZABETH ANN BEVAN KASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, FNP-C, DCNP
Contact information
Practice address
5220 BELFORT ROAD SOUTH, STE 130, JACKSONVILLE, FL 32256-6017
(727) 867-5480
(888) 507-9833
Mailing address
5220 BELFORT ROAD SOUTH, STE 130, JACKSONVILLE, FL 32256-6017
(727) 867-5480
(888) 507-9833
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
ARNP2804142
FL
363LF0000X
Family Nurse Practitioner
FL2804142
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002418600
—
FL
01
—
Y8420
BCBS
FL
Enumeration date
09/26/2005
Last updated
07/08/2013
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