Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEANETTE A BEVILACQUA, ARNP
ActiveChild & Adolescent Psychiatric Nurse · FORT MYERS, FL
Registration Details
- NPI Number
- 1083881684
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 13, 2008 (17.974739625861 yrs)
- Last Updated
- May 13, 2008
- License
-
ARNP 920292 (FL)
Practice Information
- Address
-
8660 COLLEGE PKWY230FORT MYERS, FL, 339194886Browse FL providers · Browse ZIP 33919
- Phone
- 2394331403
- Fax
- 2394335303
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.