Kasper, Elizabeth Ann Bevan

Kasper, Elizabeth Ann Bevan is an individual health care provider with primary practice located at 5220 Belfort Road South Ste 130, Jacksonville FL 32256-6017. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Wound Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Nursing Service Providers / Wound Care is her primary health care specialty. Kasper, Elizabeth Ann Bevan can be contacted via phone (727) 867-5480.

Contact Information

Primary practice address
5220 Belfort Road South Ste 130 Jacksonville FL 32256-6017
Phone: (727) 867-5480
Fax: (888) 507-9833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Wound Care 163WW0000X ARNP2804142 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X FL2804142 Florida

Profile Details

NPI number 1619963469
LBN Legal business name Kasper, Elizabeth Ann Bevan
Credentials ARNP, FNP-C, DCNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Jul 8th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619963469 NPPES
Florida Other Y8420 BCBS
Florida MEDICAID 002418600 BCBS

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