Individual
MRS. BEVERLY CARSON WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3502 W NORTHSIDE DR, JACKSON, MS 39213-4454
(601) 362-5321
Mailing address
3502 W NORTHSIDE DR, JACKSON, MS 39213-4454
(601) 362-5321
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP09119
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
901777
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP09119
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009104701
—
MS
Enumeration date
10/27/2016
Last updated
12/12/2022
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