Provider Demographics
NPI:1174533830
Name:PEARSON, BEVERLY A (FAMILY NURSE PRACTIT)
Entity type:Individual
Prefix:MRS
First Name:BEVERLY
Middle Name:A
Last Name:PEARSON
Suffix:
Gender:F
Credentials:FAMILY NURSE PRACTIT
Other - Prefix:
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Mailing Address - Street 1:710 RIDGELIFT LN
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-6646
Mailing Address - Country:US
Mailing Address - Phone:919-966-3650
Mailing Address - Fax:919-966-6248
Practice Address - Street 1:UNC STUDENT HEALTH SERVICES
Practice Address - Street 2:JAMES A. TAYLOR BLDG CB#7470
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514
Practice Address - Country:US
Practice Address - Phone:919-966-2281
Practice Address - Fax:919-966-0361
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC200374363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCG17669Medicare UPIN