BEVERLY ADVANCED PRACTICE NURSING, PLLC is a primary care clinic center in Longview, TX. BEVERLY ADVANCED PRACTICE NURSING, PLLC NPI is 1609382209. The provider is registered as an organization entity type. The provider Is Doing Business As The Beverly Clinic.
The provider's business location address is:
103A WOODBINE PL LONGVIEW, TX ZIP 75601-912 Phone: (903) 212-7788
The provider's authorized official is Daytral Brown . The authorized official title is Nurse Practitioner and has the following contact phone number (903) 212-7788.
The CLIA number assigned to this NPI record is 45D2141238 - community clinic with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/18/2017 and was last updated on 12/18/2017.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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