Individual
MRS. JENNIFER A BEVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN C
Contact information
Practice address
3169 SECOND AVE EAST, WCBHS, BIG STONE GAP, VA 24219
(276) 523-8300
(276) 523-6964
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001115351
VA
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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