Rita Carol Beasley ARNP

NPI 1629178769 - Family Medicine - 207Q00000X

NPI Details
NPI 1629178769
Gender Female
Enumeration Date 09/25/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1309 HIGHWAY 35 S
FOREST MS, 39074-5010, US
Phone (601) 469-9999
Fax (601) 469-9933
Business Location
JACKSON MS, 39272-5669, US
Phone (601) 372-5843
Taxonomy Code 207Q00000X
License State Mississippi
License Number R561193
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According to our database, Rita Carol Beasley ARNP NPI is 1629178769, taxonomy code is 207Q00000X and license number is R561193, license state is located at Mississippi. Rita Carol Beasley ARNP physically located at 1309 Highway 35 S, Forest MS, 39074-5010. NPI Number Rita Carol Beasley ARNP has the Individual type.

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1629178769 NPI number is provided on an as is basis without warranty of any kind. 1629178769 is maintained by the National Plan & Provider Enumeration System. The contents of Rita Carol Beasley ARNP are for informational purposes only.