Provider Demographics
NPI:1346332517
Name:NIX-BEDDINGFIELD, BILLIE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:BILLIE
Middle Name:
Last Name:NIX-BEDDINGFIELD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 COLLEGE AVE SE
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501
Mailing Address - Country:US
Mailing Address - Phone:678-971-5005
Mailing Address - Fax:678-971-5009
Practice Address - Street 1:100 COLLEGE AVE SE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-4510
Practice Address - Country:US
Practice Address - Phone:678-971-5005
Practice Address - Fax:678-971-5009
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN150406363LF0000X
GARN150406 NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily