Individual
BEVERLY REDDICK WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
814 JEFFERSON AVE, MEMPHIS, TN 38105-5041
(901) 544-6836
Mailing address
373 SHOFNER AVE, MEMPHIS, TN 38109-5513
(901) 398-9123
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
71493
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71493
NURSING LICENSE
TN
Enumeration date
03/01/2007
Last updated
07/08/2007
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