Lisa D Beasley
Nurse Practitioner - Family Medicine
8040 Wolf River Blvd Suite 200
Germantown
, Tennessee 38138-1773
Lisa D Beasley
Nurse Practitioner - Family Medicine
8040 Wolf River Blvd Suite 200
Germantown
, Tennessee 38138-1773
(901) 414-0017
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Lisa D Beasley
- 8040 Wolf River Blvd Suite 200
- Germantown, TN
- Zip : 38138-1773
- Phone : (901) 414-0017
Second Address
- Lisa D Beasley
- 8040 Wolf River Blvd Suite 200
- Germantown, TN
- Zip : 38138-1773
- Phone : (901) 414-0017
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | APN0000015088 | TN |
National Provider Identifier
| NPI | 1003117656 |
|---|---|
| Provider Name | Lisa D Beasley |
| First Address | Germantown, TN 38138-1773 |
| Second Address | Germantown, TN 38138-1773 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/11/2010 |
| Last Update Date | 13/11/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.