Doctor Name: | STEPHANIE J BECKETT |
NPI Number: | 1467809327 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | 00000 |
Business Practice Address: | 170 Beech St Ste 1 Harrogate, TN - 377528251 |
Business Phone Number: | 4238693684 |
Business Fax Number: | 4238695460 |
Mailing Address: | 170 Beech St Ste 1, Po Box 750 HARROGATE |
State: | TN |
Postal Code: | 377528251 |
Phone Number: | 4238693684 |
Fax Number: | 4238695460 |
NPI Enumeration Date: | 05/20/2016 |
NPI Last Update Date: | 05/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 00000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |