Individual provider · Type 1 NPI
Antonio Lakendrick Cortez McBeth, RN
Nurse Practitioner · Jackson, MS
Practice location
1225 N State St
Jackson, MS 39202-2064
Mailing address
577 Storm Storm Rd.
Lena, MS 39094
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 910807 (MS) |
| Nurse Practitioner Primary | 363L00000X | 907859 (MS) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1790567378
Antonio Lakendrick Cortez McBeth, RN's National Provider Identifier is 1790567378, issued on Oct 18, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jackson, MS. The record was last updated on Dec 31, 2025.