Individual
KAJUANDRIA D BEASLEY-WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1975 NONCONNAH BLVD, MEMPHIS, TN 38132-2108
(901) 337-1625
Mailing address
7412 IVY TRAILS CV, OLIVE BRANCH, MS 38654-7171
(668) 347-2921
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R883048
MS
363LF0000X
Family Nurse Practitioner
Primary
19823
TN
363LF0000X
Family Nurse Practitioner
A004592
AR
Other
Enumeration date
03/25/2015
Last updated
03/20/2023
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