Individual
BEVERLY BURNS LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2363 HIGHWAY 1 S, GREENVILLE, MS 38701-8337
(662) 334-1253
(662) 741-2700
Mailing address
609 N DAVIS AVE STE 105, CLEVELAND, MS 38732-2355
(662) 579-3958
(866) 962-6149
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902350
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03184569
—
MS
Enumeration date
10/19/2017
Last updated
09/24/2020
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