Gann, Beverly Jo

Gann, Beverly Jo is an individual health care provider with primary practice located at 2828 N National Ave Doctors Hospital Of Springfield, Specialty Clinic, Springfield MO 65803-4306. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Gann, Beverly Jo can be contacted via phone (417) 837-4000.

Contact Information

Primary practice address
2828 N National Ave Doctors Hospital Of Springfield, Specialty Clinic Springfield MO 65803-4306
Phone: (417) 837-4000
Fax: (417) 875-4724
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X RN 091078 Missouri

Profile Details

NPI number 1003802406
LBN Legal business name Gann, Beverly Jo
Credentials RNC,WHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Jun 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003802406 NPPES
Other P00314636 RR MEDICARE
MEDICAID 1003802406 RR MEDICARE
MEDICAID 425443736 RR MEDICARE

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