IndividualActive
Beverly Gardner, PA-C
NPI 1629089065 · Medical Physician Assistant · Crossville, TN
Provider details
- NPI number
- 1629089065
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA632 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
131 S Webb Ave
Crossville, TN 38555-8452
Phone: (931) 484-5379
Fax: (931) 484-5946
Approximate (ZIP-level) locationGet directions
Mailing address
131 S Webb Ave
Crossville, TN 38555-8452
Registry dates
- Enumerated
- 2006-08-10
- Last updated
- 2020-12-01
- Certified
- 2020-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.