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ASHLEY PAIGE BEAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2550 FLOWOOD DR, #400, FLOWOOD, MS 39232-9303
(601) 933-9521
Mailing address
1151 N STATE ST STE 311, JACKSON, MS 39202-2407
(601) 939-1171

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R873805
MS
367500000X
Certified Registered Nurse Anesthetist
Primary
089139
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03353093
MS
Enumeration date
04/08/2012
Last updated
03/26/2018
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