Glasgow, Beverly Ann Clisby

Glasgow, Beverly Ann Clisby is an individual health care provider with primary practice located at 7601 Southcrest Pkwy , Southaven MS 38671-4739. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Glasgow, Beverly Ann Clisby can be contacted via phone (662) 349-4000.

Contact Information

Primary practice address
7601 Southcrest Pkwy Southaven MS 38671-4739
Phone: (662) 349-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R503355 Mississippi

Profile Details

NPI number 1124067384
LBN Legal business name Glasgow, Beverly Ann Clisby
Credentials DNP, FNP, ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated May 6th, 2014 - about 10 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 1124067384 NPPES
Mississippi Other P00357312 RAILROAD MEDICARE
Mississippi MEDICAID 02106036 RAILROAD MEDICARE

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