Individual provider · Type 1 NPI

Theresa Beard, RNFA

Surgical Physician Assistant · Jackson, MS

NPI number 1629307970 Active

Practice location

971 Lakeland Dr, Suite 656
Jackson, MS 39216-4643

Fax (601) 366-6647

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XR857458 (MS)

Surgical Physician Assistant: Definition to come...

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About NPI 1629307970

Theresa Beard, RNFA's National Provider Identifier is 1629307970, issued on Dec 16, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Jackson, MS. The record was last updated on Nov 19, 2014.