Healthcare Provider Details

I. General information

NPI: 1871448522
Provider Name (Legal Business Name): BETHANY LYNN CHRISTENSEN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 02/27/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8150 SW STATE RD 200 UNIT 400
OCALA FL
34481
US

IV. Provider business mailing address

8979 SE 42ND CT
OCALA FL
34480-8250
US

V. Phone/Fax

Practice location:
  • Phone: 352-861-1667
  • Fax:
Mailing address:
  • Phone: 352-857-9070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11045397
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: