Provider Demographics
NPI:1376338046
Name:BEARD, ALBERT LOVONE JR (FNP-C)
Entity type:Individual
Prefix:
First Name:ALBERT
Middle Name:LOVONE
Last Name:BEARD
Suffix:JR
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 E CRICKLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29505-5105
Mailing Address - Country:US
Mailing Address - Phone:843-409-0375
Mailing Address - Fax:
Practice Address - Street 1:501 RADFORD BLVD
Practice Address - Street 2:
Practice Address - City:DILLON
Practice Address - State:SC
Practice Address - Zip Code:29536-5001
Practice Address - Country:US
Practice Address - Phone:843-605-0270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-11
Last Update Date:2025-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC28698363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner