Beckwith, Shara M

Beckwith, Shara M is an individual health care provider with primary practice located at 205A Belle Meade Pt , Flowood MS 39232-3311. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Beckwith, Shara M can be contacted via phone (601) 200-5678.

Contact Information

Primary practice address
205A Belle Meade Pt Flowood MS 39232-3311
Phone: (601) 200-5678
Fax: (601) 992-0096
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 782685 Mississippi

Profile Details

NPI number 1609864974
LBN Legal business name Beckwith, Shara M
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Jan 8th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609864974 NPPES
Mississippi Other P01022112 RAILROAD MEDICARE
Mississippi MEDICAID 08650772 RAILROAD MEDICARE

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