Individual
DR. BEVERLY C. BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PHD, CWCN-APRN
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
(601) 364-1305
Mailing address
1175 PINE ACRES RD, TERRY, MS 39170-7627
(601) 878-6908
(601) 878-2400
Taxonomy
Speciality
Code
Description
License number
State
163WE0900X
Enterostomal Therapy Registered Nurse
R523623
MS
163WW0000X
Wound Care Registered Nurse
R523623
MS
364S00000X
Clinical Nurse Specialist
Primary
R523623/#2002148630
MS
Other
Enumeration date
11/03/2006
Last updated
02/15/2010
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