Doctor Name: | HANNAH BECKHAM |
NPI Number: | 1073934576 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | R882092 |
Business Practice Address: | 401 Alcorn Drive Suite 2b Corinth, MS - 388349321 |
Business Phone Number: | 6622937390 |
Business Fax Number: | 6622937399 |
Mailing Address: | 40a County Road 520, CORINTH |
State: | MS |
Postal Code: | 38834 |
Phone Number: | 6622937390 |
Fax Number: | 6622937399 |
NPI Enumeration Date: | 12/31/2013 |
NPI Last Update Date: | 02/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R882092 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |