person
Nicole S Beavers, CPNP
Pediatric Nurse Practitioner in Clinton, Tennessee
NPI 1477685311

Nicole S Beavers is a Pediatric Nurse Practitioner based in Knoxville, TN and is specialized in Pediatrics. Nicole S Beavers practices in Clinton, TN and has the professional credentials of CPNP. The NPI Number for Nicole S Beavers is 1477685311 and holds a License No. 6963 (Tennessee).

The current practice location address for Nicole S Beavers is 2130 N. Charles Seivers Blvd, Clinton, TN and can be reached out via phone at 865-457-4044 and via fax at 866-699-4833.

Location: 2130 N. Charles Seivers Blvd, Clinton, TN, 37901-5004
person
Provider Profile Details
NPI Number
1477685311
Provider Name
Nicole S Beavers
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
2130 N. Charles Seivers Blvd, Clinton, TN, 37901-5004
Phone Number
865-457-4044
Fax Number
866-699-4833
Provider Enumeration Date
03/09/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
Q002695 05 TN
institution
Provider Business Practice Location Address Details
Address
2130 N. Charles Seivers Blvd
City
State
Zip
37716-6705
Phone Number
865-457-4044
Fax Number
866-699-4833
person
Provider Business Mailing Address Details
Address
2130 N. Charles Seivers Blvd
City
State
Zip
37716-6705
Phone Number
865-457-4044
Fax Number
866-699-4833
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
6963 (Tennessee)
Definition
Definition to come...
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