Provider Demographics
NPI:1689222523
Name:BEVER, MARY BETH (FNP)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:BETH
Last Name:BEVER
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 1:7400 GEORGE E HORN RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-1112
Mailing Address - Country:US
Mailing Address - Phone:615-973-3578
Mailing Address - Fax:
Practice Address - Street 1:5080 FLORENCE RD
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-2922
Practice Address - Country:US
Practice Address - Phone:615-410-9260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-03
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN26386363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily