Individual
SHEILA FRANCINE BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6035
(423) 431-6111
Mailing address
1936 BROOKSIDE DR STE E, KINGSPORT, TN 37660-4654
(423) 765-0777
(423) 765-0760
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
17971
TN
367500000X
Certified Registered Nurse Anesthetist
209-005201
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103I431364
MEDICARE
TN
05
—
Q031591
—
TN
Enumeration date
08/02/2005
Last updated
12/07/2022
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