Fernandez, Beverly Jane
Fernandez, Beverly Jane is an sole proprietor health care provider with primary practice located at 160 E Main St , Port Jervis NY 12771-2114. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Fernandez, Beverly Jane can be contacted via phone (845) 807-2239.Contact Information
Primary practice address
160 E Main St
Port Jervis NY 12771-2114
Phone: (845) 807-2239
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 310954 | New York |
Profile Details
| NPI number | 1023733292 |
|---|---|
| LBN Legal business name | Fernandez, Beverly Jane |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2022 |
| Last updated | Oct 10th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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