IndividualActive
Beverly Buchanan, RN, PHD, CWCN-APRN
NPI 1790864635 · Clinical Nurse Specialist · Jackson, MS
Provider details
- NPI number
- 1790864635
- Entity type
- Individual
- Primary specialty
- Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN, PHD, CWCN-APRN
- Sex
- Female
- Sole proprietor
- Yes
- License
- R523623 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Nursing Service Providers
Practice location
1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116
Phone: (601) 362-4471
Fax: (601) 364-1305
Approximate (ZIP-level) locationGet directions
Mailing address
1175 Pine Acres Rd
Terry, MS 39170-7627
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2010-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.