LAWANDA BEVEL JACKSON

ST PETERSBURG, FL
NPI1558008789
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL  9365258)
Enumeration Date2022-05-18
Last Update Date2022-05-18
Business Address
LAWANDA BEVEL JACKSON APRN
1685 61ST AVE S
ST PETERSBURG, FL 33712-4920
Phone number: 727-290-8460
Mailing Address
LAWANDA BEVEL JACKSON APRN
1685 61ST AVE S
ST PETERSBURG, FL 33712-4920
Phone number: 727-290-8460
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