NPI 1629178769 · live from the CMS NPI Registry
Rita Carol Beasley, ARNP
Family Medicine in Forest, MS. National Provider Identifier 1629178769, active.
NPI record
| NPI | 1629178769 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1309 Highway 35 S, Forest, MS 39074 |
| Practice phone | 601-469-9999 |
| Mailing address | 4415 Henderson Rd, Jackson, MS 39272 |
| Enumerated | September 25, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | R561193 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.