Individual
MRS. JEANA R BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
540 N NELLIS BLVD, LAS VEGAS, NV 89110-5368
(702) 459-7424
(702) 431-0265
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 459-7424
(702) 431-0265
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN001933
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548649379
—
NV
Enumeration date
05/26/2015
Last updated
01/18/2017
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