Individual
NIKIA BEESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2705 ENTERPRISE DR # 5, ANDERSON, IN 46013-9670
(765) 393-1965
Mailing address
2705 ENTERPRISE DR # 5, ANDERSON, IN 46013-9670
(765) 393-1965
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
28151339A
IN
363LW0102X
Women's Health Nurse Practitioner
Primary
71004228A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000804162
ANTHEM
IN
05
—
201117760
—
IN
Enumeration date
06/26/2012
Last updated
07/13/2023
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