Jennifer A Beverly, RN C
Individual provider Active NPI Registered Nurse · Big Stone Gap, VA
NPI 1093853376 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1093853376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 0001115351 (VA)
- Practice address
- 3169 Second Ave East
Wcbhs
Big Stone Gap, VA 24219 - Phone
- (276) 523-8300
- Fax
- (276) 523-6964
- NPI assigned
- Feb 1, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001115351 | VA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001115351 | VA | Yes |
Addresses
Primary practice location
3169 Second Ave East
Wcbhs
Big Stone Gap, VA 24219
Mailing address
PO Box 9054
Gray, TN 37615-9054
Phone (423) 467-3600
Other providers in Big Stone Gap, VA
- Christopher A Bartee
- Rhonda Kincaid Bass
- Patricia A Baumgartner
- Roger Nelson Bays
- Rhonda Alane Bennett
- Teresa Beverly
- Rebecca Bevins
- Big Stone Economy Drug Inc
- Big Stone Gap Life Care, LLC
- Big Stone Gap Life Care, LLC
All providers in Big Stone Gap, VA · Registered Nurse in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.