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

BETH A JERNIGAN R.N.
NPI 1174590012
Registered Nurse in Wauchula, FL

Active since February 28, 2006
115 KD REVELL RD, WAUCHULA, FL 33873(863) 773-4161(863) 773-5056 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Beth A Jernigan R.n. NPPES

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

BETH A JERNIGAN R.N. (NPI 1174590012) is an individual registered nurse in Wauchula, Florida, licensed in Florida (1567192) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1174590012
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameBETH A JERNIGANCredential: R.N.
Location Address115 KD REVELL RDWauchula, FL 33873-2051
Mailing Address115 Kd Revell RdWauchula, FL 33873-2051 · (863) 773-4161 · Fax (863) 773-5056
Fax(863) 773-5056
Sole ProprietorNo
Enumeration DateFebruary 28, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1174590012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License Licensed in FL · 1567192
Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

115 KD REVELL RD, Wauchula, FL 33873

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Registered Nurse
115 KD REVELL RD
WAUCHULA, FL 33873
Registered Nurse
115 KD REVELL RD
WAUCHULA, FL 33873

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174590012, enumerated as an "individual" on February 28, 2006.

The provider is located at 115 KD REVELL RD WAUCHULA, FL 33873 and the phone number is (863) 773-4161.

Registered Nurse with taxonomy code 163W00000X.