Nicole S Beavers, CPNP Valid NPI

Individual provider · Pediatric Nurse Practitioner · Clinton, TN

NPI

1477685311

Type

Individual (Type 1)

Primary specialty

Pediatric Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0200X

License number

6963 (TN)

Sex

Female

Sole proprietor

No

Enumerated

2007-03-09

Last updated

2025-07-08