IndividualActive
Chakita Beverly, AGPCNP-C; PMHNP-BC
NPI 1689183246 · Primary Care Nurse Practitioner · Greenwood, MS
Provider details
- NPI number
- 1689183246
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGPCNP-C; PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 902324 (MS)
Practice location
405 River Rd
Greenwood, MS 38930-4212
Phone: (662) 304-8805
Fax: (662) 362-8061
Mailing address
1101 Mississippi Ave
Greenwood, MS 38930-5224
Registry dates
- Enumerated
- 2017-09-27
- Last updated
- 2025-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.