NICOLE S BEAVERS

CLINTON, TN
NPI1477685311
Former NameNICOLE SELF
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: TN  6963)
Enumeration Date2007-03-09
Last Update Date2022-10-03
Business Address
NICOLE S BEAVERS CPNP
2130 N. CHARLES SEIVERS BLVD SUITE 4
CLINTON, TN 37716-6705
Phone number: 865-457-4044
Mailing Address
NICOLE S BEAVERS CPNP
PO BOX 15004
KNOXVILLE, TN 37901-5004
Phone number: 865-541-8895
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