Beasley, Tia

Beasley, Tia is an individual health care provider with primary practice located at 109 Mulberry Dr , Tupelo MS 38801-6993. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Beasley, Tia can be contacted via phone (662) 255-3008.

Contact Information

Primary practice address
109 Mulberry Dr Tupelo MS 38801-6993
Phone: (662) 255-3008
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00260 Mississippi

Profile Details

NPI number 1336504778
LBN Legal business name Beasley, Tia
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2015
Last updated Oct 20th, 2016 - about 9 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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