Individual
MRS. BEVERLY JEAN SHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
298 ATKINS ST, SARDIS, MS 38666-2428
(662) 487-0423
Mailing address
2178 LYLES RD, SENATOBIA, MS 38668-6106
(662) 562-5168
(662) 562-5168
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P286648
MS
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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