Individual
MS. BEVERLY JEANNE DEGRANDCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
408 FAIRVIEW ST, CLINTON, NC 28328
(910) 596-2400
Mailing address
176 WALMART PLZ, SYLVA, NC 28779-5808
(828) 631-9462
(828) 631-9938
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1090612
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5005282
LICENSE
NC
Enumeration date
03/24/2006
Last updated
06/28/2019
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