Provider Demographics
NPI:1083887210
Name:BEBELL, DEBRA JAYNE (AP, RN,BSN)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:JAYNE
Last Name:BEBELL
Suffix:
Gender:F
Credentials:AP, RN,BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10111 109TH STREET
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33772-2443
Mailing Address - Country:US
Mailing Address - Phone:727-391-6678
Mailing Address - Fax:
Practice Address - Street 1:10111 109TH ST
Practice Address - Street 2:10111 109TH STREET
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33772-2443
Practice Address - Country:US
Practice Address - Phone:727-391-6678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1085171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist