Spicer, Beverly L.

Spicer, Beverly L. is an sole proprietor health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Spicer, Beverly L. can be contacted via phone (601) 815-1626.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 815-1626
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R869590 Mississippi

Profile Details

NPI number 1053551283
LBN Legal business name Spicer, Beverly L.
Credentials MSN, ACNP, CPNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2009
Last updated Apr 9th, 2018 - about 6 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 1053551283 NPPES
Mississippi Other P01454865 RAILROAD MEDICARE PTAN
Mississippi MEDICAID 00380310 RAILROAD MEDICARE PTAN

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