Bradley M Beckstead, CRNA
Nurse Anesthetist, Certified Registered in Jackson, TN. Individual provider (NPI-1).
NPI number1770001646
StatusActive
Last updated in NPPESAug 31, 2017
Details
- NPI
- 1770001646
- Entity type
- Individual (NPI-1)
- Name
- Bradley M Beckstead
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2017
- Last updated
- Aug 31, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 207831 | TN | Yes |
Practice location
620 Skyline DrJackson, TN 38301-3923
Phone 731-541-7070 · Fax 731-541-7075
Mailing address
620 Skyline DrJackson, TN 38301-3923
Phone 731-541-7070 · Fax 731-541-7075
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