IndividualActive
Beverly Jucknath, APRN-C
NPI 1235693268 · Gerontology Nurse Practitioner · Grand Junction, CO
Provider details
- NPI number
- 1235693268
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN-C
- Sex
- Female
- Sole proprietor
- No
- License
- APRN11003292 (FL)
Mailing address
304 E Pine St Unit 5355
Lakeland, FL 33801-4969
Registry dates
- Enumerated
- 2019-01-23
- Last updated
- 2026-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.