| Doctor Name: | MS. BEVERLY MATTHEWS |
| NPI Number: | 1790950020 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | RN109619 |
| Business Practice Address: | 128 Raymond Hirsch Parkway Whitehouse, TN - 37188 |
| Business Phone Number: | 6156728118 |
| Business Fax Number: | 6156724850 |
| Mailing Address: | 648 Hartsville Pike, GALLATIN |
| State: | TN |
| Postal Code: | 37066 |
| Phone Number: | 6154519246 |
| Fax Number: | 6155755040 |
| NPI Enumeration Date: | 04/28/2008 |
| NPI Last Update Date: | 12/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | RN109619 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |