Provider Demographics
NPI:1952780389
Name:MURRAY, BEVERLEY (FNP)
Entity type:Individual
Prefix:
First Name:BEVERLEY
Middle Name:
Last Name:MURRAY
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 1:106 CATTAIL TRL
Mailing Address - Street 2:
Mailing Address - City:NICHOLLS
Mailing Address - State:GA
Mailing Address - Zip Code:31554-3763
Mailing Address - Country:US
Mailing Address - Phone:912-632-0773
Mailing Address - Fax:
Practice Address - Street 1:210 LONG BRIDGE RD
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:GA
Practice Address - Zip Code:31037-2804
Practice Address - Country:US
Practice Address - Phone:229-868-3344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-19
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN117646364SF0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health