Provider Demographics
NPI:1427233287
Name:BEVERLY, LOLITA J (APRN, FNP-C)
Entity Type:Individual
Prefix:MISS
First Name:LOLITA
Middle Name:J
Last Name:BEVERLY
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:7470 SAWMILL RD
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-8633
Mailing Address - Country:US
Mailing Address - Phone:614-937-1356
Mailing Address - Fax:
Practice Address - Street 1:3488 SELDOM SEEN RD
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-8405
Practice Address - Country:US
Practice Address - Phone:866-389-2727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-29
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN221704363LF0000X, 363LF0000X
OHAPRN.CNP.025019363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily