Beverly, Amanda Grace

Beverly, Amanda Grace is an individual health care provider with primary practice located at 1601 Greene St , Columbia SC 29208-4001. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Beverly, Amanda Grace can be contacted via phone (803) 777-7412.

Contact Information

Primary practice address
1601 Greene St Columbia SC 29208-4001
Phone: (803) 777-7412
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 28004 South Carolina

Profile Details

NPI number 1902511108
LBN Legal business name Beverly, Amanda Grace
Credentials AGACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2023
Last updated Jun 19th, 2024 - about last year

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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