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

DOMINIQUE CHIANTE BEVERLY, CNA

Active Sole Proprietor

Nurse's Aide · GREENWOOD, MS

Registration Details

NPI Number
1497335392
Provider Type
Individual
Gender
Female
NPI Issued
Apr 13, 2021 (5.0379687726918 yrs)
Last Updated
Aug 18, 2022
License
75626 (MS)
Sole Proprietor
Yes

Practice Information

Address
804 MARTIN ST
GREENWOOD, MS, 389303318
Browse MS providers · Browse ZIP 38930
Phone
6623850987
Primary Specialty
Nurse's Aide
376K00000X
Additional Specialty
Nurse's Aide

Other Nurse's Aide Providers in GREENWOOD, MS

Name Credential NPI
SUZANNE N/A SCOTT 1184457756
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.