Individual
TYNETTA QUNIQUE BEAMON-SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10710 OLD HIGHWAY 64, BOLIVAR, TN 38008-3587
(731) 658-6113
Mailing address
6628 CROSS OAK CV, MEMPHIS, TN 38141-0400
(901) 672-3109
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
193503
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
32489
TN
Other
Enumeration date
10/03/2022
Last updated
08/26/2024
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