Healthcare Provider Details

I. General information

NPI: 1093836975
Provider Name (Legal Business Name): BESS A. GREEVY APRN, BC, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 05/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 HIGHWAY 99
WAYNESBORO TN
38485-3003
US

IV. Provider business mailing address

PO BOX 655
SAVANNAH TN
38372-0655
US

V. Phone/Fax

Practice location:
  • Phone: 931-722-2229
  • Fax: 931-722-2192
Mailing address:
  • Phone: 731-925-2300
  • Fax: 731-925-3506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPN12582
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: