Individual
REBECCA JANE BEVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
39 FERNDALE APARTMENTS RD, PINEVILLE, KY 40977-8578
(731) 394-1145
Mailing address
174 REBECCA LN, GRAY, KY 40734-6623
(606) 622-0818
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3016138
KY
Other
Enumeration date
07/20/2022
Last updated
07/25/2022
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