Individual
ALLISON BROOK BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
301 GORDON GUTMANN BLVD STE 101, JEFFERSONVILLE, IN 47130-3765
(812) 282-4844
(812) 282-6248
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71007160A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300069957
—
IN
01
—
3011617
STATE LICENSE
KY
05
—
7100504430
—
KY
01
—
71007160A
STATE LICENSE
IN
Enumeration date
06/14/2017
Last updated
02/23/2024
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