Individual
MRS. BEVERLY EAVES OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1200 N STATE ST STE 270, JACKSON, MS 39202-2027
(601) 714-6470
(601) 714-6471
Mailing address
350 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2177
(901) 226-4003
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R604313
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05685057
—
MS
Enumeration date
04/22/2009
Last updated
09/04/2025
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