Individual
JACKIE LYNN BEASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
150 PINE STATE ST, LILLINGTON, NC 27546-9414
(910) 814-2425
(910) 814-2429
Mailing address
150 PINE STATE ST, LILLINGTON, NC 27546-9414
(910) 814-2425
(910) 814-2429
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
270786
NC
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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