Individual provider · Type 1 NPI

Beverly L. Leavy, CNA

Nurse's Aide · Ellenwood, GA

NPI number 1285582973 Active

Practice location

3851 Lincoln Jones Rd
Ellenwood, GA 30294-1828

Mailing address

2172 Georgia St
Gary, IN 46407-3212

Specialties and licenses

TaxonomyCodeLicense
Nurse's Aide Primary 376K00000XCN0014251381 (GA)

Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…

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About NPI 1285582973

Beverly L. Leavy, CNA's National Provider Identifier is 1285582973, issued on Mar 18, 2026. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Ellenwood, GA. The record was last updated on Mar 18, 2026.