Individual
MRS. CHAKITA LAVET BEVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-C; PMHNP-BC
Contact information
Practice address
405 RIVER RD, GREENWOOD, MS 38930-4212
(662) 304-8805
(662) 362-8061
Mailing address
1101 MISSISSIPPI AVE, GREENWOOD, MS 38930-5224
(662) 374-3209
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
902324
MS
363LG0600X
Gerontology Nurse Practitioner
902324
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
902324
MS
363LP2300X
Primary Care Nurse Practitioner
Primary
902324
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
902324
MSBON LICENSE NUMBER
MS
Enumeration date
09/27/2017
Last updated
07/22/2025
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