Individual
INDIA RACHELLE BEVERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
2548 MEMORIAL BLVD, PORT ARTHUR, TX 77640-2825
(409) 983-1161
(409) 982-0978
Mailing address
950 IRIS LN, BEAUMONT, TX 77706-5520
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
817075
TX
363L00000X
Nurse Practitioner
Primary
1224103
TX
Other
Enumeration date
11/13/2025
Last updated
05/11/2026
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