Individual
DR. JOHN P BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1401 JEFFERSON HWY, NEW ORLEANS, LA 70121-2426
(504) 842-4747
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2483
(504) 842-3000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4704234332
MI
363L00000X
Nurse Practitioner
Primary
4704234332
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003066143
—
MI
01
—
500C961050
BCBSM
MI
Enumeration date
09/25/2008
Last updated
07/24/2025
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