BLONDEVA BETHEL PEER SPECIALIST NPI 1023998523

NPI Information

  • NPI: 1023998523
  • Provider Name: BLONDEVA BETHEL, PEER SPECIALIST
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 555 STOCKTON ST
    JACKSONVILLE, FL
    ZIP 32204
  • Phone: (904) 387-4667

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NPI Details

Blondeva Bethel, PEER SPECIALIST is a peer specialist in Jacksonville, FL. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Blondeva Bethel, PEER SPECIALIST NPI is 1023998523. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

555 STOCKTON ST
JACKSONVILLE, FL
ZIP 32204-534
Phone: (904) 387-4667

The enumeration date for this NPI number is 9/4/2025 and was last updated on 9/4/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1175T00000XPeer Specialist0100096FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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