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Contact Information

STACE G BEARD, CRNA
830 SOUTH GLOSTER
TUPELO, MS38801
 Phone: 662-377-4394
 Fax: 662-377-7045
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for STACE G BEARD · (Male)

NPI Number 1225063423
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 07/12/2006
Last updated 03/28/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MS License # R850721
  • MS Medicaid 09476847
  • AL Other 009936478 MEDICAID
Hospital affiliation(s)
  • BAPTIST MEMORIAL HOSPITAL UNION COUNTY - (Acute Care)
    200 HWY 30 WEST
    NEW ALBANY, MS 38652
  • NW ARKANSAS HOSPITALS LLC - (Acute Care)
    609 WEST MAPLE AVENUE
    SPRINGDALE, AR 72764
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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