LESA BEAVER

JACKSON, MS
NPI1861680670
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: TN  APN0000008070)
Additional Taxonomies363LA2100X Nurse Practitioner, Acute Care
(Licence: TN  RN0000127593)
Enumeration Date2007-10-05
Last Update Date2023-06-06
Business Address
LESA BEAVER NP
1500 E WOODROW WILSON AVE
JACKSON, MS 39216-5116
Phone number: 601-362-4471
Mailing Address
LESA BEAVER NP
1500 E WOODROW WILSON AVE
JACKSON, MS 39216-5116
Phone number: 601-362-4471