Organization · Type 2 NPI

Beverly Advanced Practice Nursing, PLLC

Primary Care Clinic/Center · Longview, TX

NPI number 1609382209 Active

Practice location

103A Woodbine Pl
Longview, TX 75601-2912

Mailing address

PO Box 883
Longview, TX 75606-0883

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XAP120067 (TX)

Primary Care Clinic/Center: Definition to come...

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About NPI 1609382209

Beverly Advanced Practice Nursing, PLLC's National Provider Identifier is 1609382209, issued on Dec 18, 2017. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Longview, TX. The record was last updated on Dec 18, 2017.