Davidson, Beverly

Davidson, Beverly is an individual health care provider with primary practice located at 1037 E Old Hickory Blvd , Madison TN 37115. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Davidson, Beverly can be contacted via phone (615) 865-3994.

Contact Information

Primary practice address
1037 E Old Hickory Blvd Madison TN 37115
Fax: (615) 865-8176
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 13671 Tennessee

Profile Details

NPI number 1144473547
LBN Legal business name Davidson, Beverly
Credentials DNP, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2008
Last updated Jan 21st, 2021 - about 5 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 1144473547 NPPES
Tennessee MEDICAID 1517608

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