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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MS. BEVERLY JEAN PETTY PA-C
NPI 1003895129
Physician Assistant - Medical in Jacksonville, FL

Active since January 17, 2006
NAVAL HOSPITAL, OCCUPATIONAL HEALTH CLINIC, 2080 CHILD STREET, JACKSONVILLE, FL 32214(904) 542-3500 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Beverly Jean Petty Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. BEVERLY JEAN PETTY PA-C (NPI 1003895129) is an individual medical provider in Jacksonville, Florida, licensed in Florida (PA2942) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1003895129
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. BEVERLY JEAN PETTYCredential: PA-C
Location AddressNAVAL HOSPITAL, OCCUPATIONAL HEALTH CLINIC, 2080 CHILD STREETJacksonville, FL 32214-0001
Mailing Address5337 Tilting Oaks Ct EJacksonville, FL 32258-3422 · (904) 268-7713
Phone(904) 542-3500
Sole ProprietorNo
Enumeration DateJanuary 17, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1003895129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA2942
NAVAL HOSPITAL, OCCUPATIONAL HEALTH CLINIC, Jacksonville, FL 32214
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beverly Petty's NPI number?

The NPI number for Beverly Petty is 1003895129. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Where is Beverly Petty located?

Beverly Petty practices at Naval Hospital, Occupational Health Clinic 2080 Child Street, Jacksonville, FL 32214. The listed phone number is (904) 542-3500.

What is Beverly Petty's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Beverly Petty was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.