IndividualActive
Dominique Beverly, CNA
NPI 1497335392 · Nurse's Aide · Greenwood, MS
Provider details
- NPI number
- 1497335392
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Credential
- CNA
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
- Home Health Aide374U00000X
Nursing Service Related Providers
Practice location
804 Martin St
Greenwood, MS 38930-3318
Phone: (662) 385-0987
Approximate (ZIP-level) locationGet directions
Mailing address
804 Martin St
Greenwood, MS 38930-3318
Registry dates
- Enumerated
- 2021-04-13
- Last updated
- 2022-08-18
- Certified
- 2022-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.