Provider Demographics
NPI:1376605527
Name:NEVERS, JODI R (LMFT)
Entity Type:Individual
Prefix:MS
First Name:JODI
Middle Name:R
Last Name:NEVERS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5020 SOMERSBY RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32217-4836
Mailing Address - Country:US
Mailing Address - Phone:386-614-2396
Mailing Address - Fax:360-262-2932
Practice Address - Street 1:5020 SOMERSBY RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32217-4836
Practice Address - Country:US
Practice Address - Phone:386-614-2396
Practice Address - Fax:360-262-2932
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT 1655106H00000X
FLMT1655106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist