Individual provider · Type 1 NPI

Beverly Suzanne Jucknath, APRN-C

Gerontology Nurse Practitioner · Grand Junction, CO

NPI number 1235693268 Active

Practice location

2635 N 7th St
Grand Junction, CO 81501-8209

Mailing address

304 E Pine St Unit 5355
Lakeland, FL 33801-4969

Other practice locations

  • 1000 N Oak Ave, Marshfield, WI 54449-5703 · (715) 387-5511

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAPRN11003292 (FL)
Critical Care Medicine Registered Nurse 163WC0200XRN9361508 (FL)
Gerontology Nurse Practitioner Primary 363LG0600X16816 (WI)
Nurse Practitioner 363L00000XGAA-NP002442 (GA)
Nurse Practitioner 363L00000XC-APN.0102449-C-NP (CO)
Adult Health Nurse Practitioner 363LA2200XAPRN11003292 (FL)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1235693268

Beverly Suzanne Jucknath, APRN-C's National Provider Identifier is 1235693268, issued on Jan 23, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Grand Junction, CO. The record was last updated on Feb 6, 2026.