Whalio Doctors

NPI 1790864635

Beverly C. Buchanan, RNPHDCWCNAPRN

Practitioner Clinical Nurse Specialist Jackson, MS

Practice location

Address
1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116
Phone
(601) 362-4471
Fax
(601) 364-1305
Mailing address
1175 Pine Acres Rd, Terry, MS 39170-7627

Registered specialties (3)

Clinical Nurse Specialist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364S00000X Licence R523623/#2002148630 (MS)
Wound Care Registered Nurse
Nursing Service Providers Taxonomy 163WW0000X Licence R523623 (MS)
Enterostomal Therapy Registered Nurse
Nursing Service Providers Taxonomy 163WE0900X Licence R523623 (MS)

Registry record

NPI
1790864635
Entity type
Individual
Sex (as registered)
Female
NPI issued
3 Nov 2006
Record last updated
15 Feb 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.