Individual
BEVERLY D. MCMAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
526 8TH AVE S, NASHVILLE, TN 37203-4139
(615) 862-7900
Mailing address
1621 JACKSONS VALLEY PL, HERMITAGE, TN 37076-4319
(615) 872-0989
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000145391
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MTR903328655
BLUE CROSS BLUE SHIELD
TN
Enumeration date
07/20/2007
Last updated
07/20/2007
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