Beverly Advanced Practice Nursing, Pllc

NPI #1609382209 in Longview, Texas

Provider Information

NPI Number: 1609382209
Entity Type: Organization
Organization Name: Beverly Advanced Practice Nursing, Pllc
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Dec 18, 2017
Last Updated: Dec 18, 2017

Practice Location

Address: 103A WOODBINE PL
City: Longview
State: Texas
ZIP Code: 75601-2912
Phone: (903) 212-7788

Authorized Official

Name: DAYTRAL BROWN, APRN
Title: NURSE PRACTITIONER
Phone: (903) 212-7788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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