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NPI 1285582973

IndividualActive

Beverly Leavy, CNA

NPI 1285582973 · Nurse's Aide · Ellenwood, GA

Provider details

NPI number: 1285582973
Entity type: Individual
Primary specialty: Nurse's AideNursing Service Related Providers
Credential: CNA
Sex: Female
Sole proprietor: No
License: CN0014251381 (GA)

Practice location

3851 Lincoln Jones Rd

Ellenwood, GA 30294-1828

Phone: (219) 318-9169

More GA providers

Mailing address

2172 Georgia St

Gary, IN 46407-3212

Registry dates

Enumerated: 2026-03-18
Last updated: 2026-03-18

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Beverly Leavy, CNA — NPI 1285582973, Ellenwood, GA | NPI Central