MS. Beverly Jean Petty, PA-C

NPI #1003895129 in Jacksonville, Florida

Provider Information

NPI Number
1003895129
Entity Type
Individual
Name
MS. Beverly Jean Petty, PA-C
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Jan 17, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
NAVAL HOSPITAL, OCCUPATIONAL HEALTH CLINIC
Address 2
2080 CHILD STREET
State
Florida
ZIP Code
32214-0001
Phone
(904) 542-3500

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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