Individual
GAIL BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
2124 14TH ST, MERIDIAN, MS 39301-4040
(601) 553-6000
Mailing address
PO BOX 749215, ATLANTA, GA 30374-9215
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
612669
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119634
—
MS
Enumeration date
07/18/2006
Last updated
09/19/2024
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