Individual
SHARON BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-5180
(228) 523-5731
Mailing address
16135 SHELLEYE ST, GULFPORT, MS 39503-2619
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R576689
MS
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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