Provider Demographics
NPI:1548375918
Name:NECESSARY, BEVERLY CAROL (FNP-BC, AOCNP)
Entity type:Individual
Prefix:
First Name:BEVERLY
Middle Name:CAROL
Last Name:NECESSARY
Suffix:
Gender:F
Credentials:FNP-BC, AOCNP
Other - Prefix:
Other - First Name:BEVERLY
Other - Middle Name:CAROL
Other - Last Name:NEELEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11200 GOVERNOR MANLY WAY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-8599
Mailing Address - Country:US
Mailing Address - Phone:919-570-7550
Mailing Address - Fax:919-570-7551
Practice Address - Street 1:11200 GOVERNOR MANLY WAY
Practice Address - Street 2:SUITE 102
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614-8599
Practice Address - Country:US
Practice Address - Phone:919-570-7550
Practice Address - Fax:919-570-7551
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0050 00707363L00000X
NC5000707363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNCI266D555Medicare PIN