Individual
DR. BEVERLY DIANN BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, DNP, FNP-C
Contact information
Practice address
6713 OLD JACKSONVILLE HWY STE 204, TYLER, TX 75703-0753
(903) 630-2197
(903) 470-7372
Mailing address
6713 OLD JACKSONVILLE HWY STE 204, TYLER, TX 75703-0753
(903) 630-2197
(903) 470-7372
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP142397
TX
363LP2300X
Primary Care Nurse Practitioner
AP142397
TX
Other
Enumeration date
06/07/2019
Last updated
11/14/2024
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