Individual
MRS. STEPHANIE JUDITH BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM,RNFA
Contact information
Practice address
2962 ROCKINGHAM DR NW, ATLANTA, GA 30327-1231
(404) 376-1598
(404) 350-0937
Mailing address
2962 ROCKINGHAM DR NW, ATLANTA, GA 30327-1231
(404) 376-1598
(404) 350-0937
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN051274 CNM
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000635874D
—
GA
Enumeration date
04/23/2007
Last updated
02/03/2011
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