Individual
JOHN BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
3813 CONCORD RD, GATES, TN 38037-4615
(731) 234-7066
Mailing address
3813 CONCORD RD, GATES, TN 38037-4615
(731) 234-7066
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20766
TN
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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