Individual
MR. JEFFREY L BEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, APRN, FNP-BC
Contact information
Practice address
704 VETERANS DRIVE, THE DALLES, OR 97058-9998
(541) 296-3937
Mailing address
324 ENREDE LN, ST AUGUSTINE, FL 32095-7437
(740) 974-3535
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
146814
AK
363LF0000X
Family Nurse Practitioner
202202782NP-PP
OR
363LF0000X
Family Nurse Practitioner
APRN.CNP.08962
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN9438247
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2761300
—
OH
01
—
CD3781
MEDICARE RAILROAD
OH
Enumeration date
08/22/2006
Last updated
10/10/2025
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