Individual
DEBRA BAKER BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4901 DAWN DR STE 3200, LUMBERTON, NC 28360-8288
(910) 735-8040
Mailing address
5221 PARAMOUNT PKWY STE 220, MORRISVILLE, NC 27560-5490
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200855
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200855
NC MEDICAL BOARD
NC
Enumeration date
09/26/2005
Last updated
12/12/2024
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