Beasley, Stephanie Judith
Beasley, Stephanie Judith is an individual health care provider with primary practice located at 2962 Rockingham Dr Nw , Atlanta GA 30327-1231. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Beasley, Stephanie Judith can be contacted via phone (404) 376-1598.Contact Information
Primary practice address
2962 Rockingham Dr Nw
Atlanta GA 30327-1231
Phone: (404) 376-1598
Fax: (404) 350-0937
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | RN051274 CNM | Georgia |
Profile Details
| NPI number | 1487872552 |
|---|---|
| LBN Legal business name | Beasley, Stephanie Judith |
| Credentials | CNM,RNFA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2007 |
| Last updated | Feb 3rd, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487872552 | NPPES |
| Georgia | MEDICAID | 000635874D |
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