Individual provider · Type 1 NPI

Beverly Jean Petty, PA-C

Medical Physician Assistant · Jacksonville, FL

NPI number 1003895129 Active

Practice location

Naval Hospital, Occupational Health Clinic, 2080 Child Street
Jacksonville, FL 32214-0001

Call (904) 542-3500 Map

Mailing address

5337 Tilting Oaks Ct E
Jacksonville, FL 32258-3422

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA2942 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1003895129

Beverly Jean Petty, PA-C's National Provider Identifier is 1003895129, issued on Jan 17, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 13, 2026.