Individual
SHARA M BECKWITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
205A BELLE MEADE PT, FLOWOOD, MS 39232-3311
(601) 200-5678
(601) 992-0096
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(601) 200-5678
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
782685
MS
363LF0000X
Family Nurse Practitioner
Primary
782685
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08650772
—
MS
01
—
P01022112
RAILROAD MEDICARE
MS
Enumeration date
10/11/2005
Last updated
02/27/2025
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