Mrs. Beverly Jane Waddell, ANP, GCNS
Mrs. Beverly Jane Waddell, ANP, GCNS is a Nurse Practitioner in Kingsport, Tennessee. Qualified in 2007, 19 years ago. Practices with Holston Medical Group PC, a 242-clinician group and accepts Medicare assignment. Licensed in Tennessee.
- Years since qualifying
- 19
- Licensed in
- TN
- In the registry since
- 2008
- Specialties on file
- 3
Practice location Address checks out
105 W Stone Dr Ste 5CKingsport, TN 37660-3365
Phone: (423) 378-7645
Fax: (423) 392-3863
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence APN13413 (TN) |
|---|---|
| Gerontology Clinical Nurse Specialist | Taxonomy 364SG0600X · Licence 13413 (TN) |
| Registered Nurse | Taxonomy 163W00000X · Licence RN129155 (TN) |
Record details
| NPI number | 1811161813 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | ANP , GCNS |
| Sole proprietor | No |
| NPI enumerated | April 22, 2008 |
| Last updated in NPPES | November 18, 2014 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2007 (19 years in practice) |
| Group practice | Holston Medical Group Pc — 242 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |