LESA BEAVER NP NPI 1861680670

NPI Information

  • NPI: 1861680670
  • Provider Name: LESA BEAVER, NP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1500 E WOODROW WILSON AVE
    JACKSON, MS
    ZIP 39216
  • Phone: (601) 362-4471

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NPI Details

Lesa Beaver, NP is an acute care nurse practitioner in Jackson, MS. Lesa Beaver, NP NPI is 1861680670. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1500 E WOODROW WILSON AVE
JACKSON, MS
ZIP 39216-116
Phone: (601) 362-4471

The NPI 1861680670 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/5/2007 and was last updated on 6/6/2023.

Taxonomy Codes

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute CareRN0000127593TENNESSEENo
2363LA2100XNurse PractitionerAcute CareAPN0000008070TENNESSEEYes

What is NPI?

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

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