| Doctor Name: | MS. JEANNINE LOUISE EVERETT |
| NPI Number: | 1083614952 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 28140609A |
| Business Practice Address: | 303 N Clyde Morris Blvd Daytona Beach, FL - 321142709 |
| Business Phone Number: | 3862544080 |
| Business Fax Number: | 3862392376 |
| Mailing Address: | 285 Bielby Road, LAWRENCEBURG |
| State: | IN |
| Postal Code: | 470251055 |
| Phone Number: | 8125371302 |
| Fax Number: | 8125370194 |
| NPI Enumeration Date: | 07/21/2005 |
| NPI Last Update Date: | 05/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 28140609A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |