Degrandchamp, Beverly Jeanne

Degrandchamp, Beverly Jeanne is an individual health care provider with primary practice located at 408 Fairview St , Clinton NC 28328. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Degrandchamp, Beverly Jeanne can be contacted via phone (910) 596-2400.

Contact Information

Primary practice address
408 Fairview St Clinton NC 28328
Phone: (910) 596-2400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1090612 Florida

Profile Details

NPI number 1861452781
LBN Legal business name Degrandchamp, Beverly Jeanne
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jun 28th, 2019 - about 7 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 1861452781 NPPES
North Carolina Other 5005282 LICENSE

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