Connie Lee Beardsley, R.N.

Individual provider Active NPI Addiction (Substance Use Disorder) Registered Nurse · Franklin, GA

NPI 1114105152 · NPPES record last updated Feb 1, 2008

Key facts

NPI
1114105152
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X
License
RN105913 (GA)
Practice address
2295 Nutt Rd
Franklin, GA 30217-4855
Phone
(706) 675-3936
NPI assigned
Feb 1, 2008
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

LicenseStateTypeSpecialty
RN105913GAMDAddiction (Substance Use Disorder) Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X RN105913 GA Yes

Addresses

Primary practice location

2295 Nutt Rd
Franklin, GA 30217-4855

Mailing address

2295 Nutt Rd
Franklin, GA 30217-4855
Phone (706) 675-3936

Other providers in Franklin, GA

All providers in Franklin, GA · Addiction (Substance Use Disorder) Registered Nurse in Georgia

Sources for this page

Verify at the official NPI Registry.