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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICOLE S BEAVERS, CPNP

Active

NICOLE S BEAVERS, CPNP is a Pediatric Nurse Practitioner healthcare provider located in CLINTON, Tennessee. NPI 1477685311 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · CLINTON, TN

Registration Details

NPI Number
1477685311
Provider Type
Individual
Gender
Female
NPI Issued
Mar 9, 2007 (19.401663473737 yrs)
Last Updated
Jul 8, 2025
License
6963 (TN)

Practice Information

Address
2130 N. CHARLES SEIVERS BLVD
SUITE 4
CLINTON, TN, 377166705
Browse TN providers · Browse ZIP 37716
Phone
8654574044
Fax
8666994833
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.