MEDICARE: BEVERLY LYNN MAYO FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1487503553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEVERLY LYNN MAYO FNP-C

Provider Business Mailing Address
First Line	:	601 AIRPORT RD STE 170
Second Line	:
City	:	SULPHUR SPRINGS
State	:	TX
Zip	:	75482-2009
Country	:	US
Telephone Number	:	903-243-0356
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 AIRPORT RD STE 170
Second Line	:
City	:	SULPHUR SPRINGS
State	:	TX
Zip	:	75482-2009
Country	:	US
Telephone Number	:	903-243-0356
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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Directions to “ BEVERLY LYNN MAYO FNP-C” Practice Location

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