MRS. Stefani Jane Beverlin, PAC

NPI #1497884134 in Effingham, Illinois

Provider Information

NPI Number: 1497884134
Entity Type: Individual
Name: MRS. Stefani Jane Beverlin, PAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Mar 5, 2007
Last Updated: Sep 25, 2015

Practice Location

Address: 912 N HENRIETTA ST
City: Effingham
State: Illinois
ZIP Code: 62401-1788
Phone: (217) 342-3337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Physician Assistant	363A00000X	Primary

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