Individual
PRISCILLA BEATTY
Active
Individual
PRISCILLA BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
RN136315
TN
363L00000X
Nurse Practitioner
APN8331
TN
363LA2100X
Acute Care Nurse Practitioner
Primary
8331
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150352
—
TN
01
—
4177190
BCBS OF TN
TN
Enumeration date
01/02/2008
Last updated
08/24/2022
Update your record
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