Provider Demographics
NPI:1912416710
Name:ANDREWS, BEVERLY JANET (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:BEVERLY
Middle Name:JANET
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4849 PENINSULA POINTE DR
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-3661
Mailing Address - Country:US
Mailing Address - Phone:615-720-2681
Mailing Address - Fax:925-307-5262
Practice Address - Street 1:4849 PENINSULA POINTE DR
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-3661
Practice Address - Country:US
Practice Address - Phone:615-720-2681
Practice Address - Fax:925-307-5262
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-25
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN23105363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily