Weaver, Beverly P.

Weaver, Beverly P. is an individual health care provider with primary practice located at 3451 Goodman Rd E Ste 115, Southaven MS 38672-9303. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Weaver, Beverly P. can be contacted via phone (662) 890-5555.

Contact Information

Primary practice address
3451 Goodman Rd E Ste 115 Southaven MS 38672-9303
Phone: (662) 890-5555
Fax: (662) 890-8899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R629189 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R629189 Mississippi

Profile Details

NPI number 1831140508
LBN Legal business name Weaver, Beverly P.
Credentials RN, MSN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Feb 22nd, 2012 - about 13 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 1831140508 NPPES
Mississippi MEDICAID 00122952

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