Beverly J Provo
GNPC | Nurse Practitioner - Adult Health
1208 Driving Park Ave, Newark
New York, 14513-1057
315-359-2640
Beverly J Provo is a Newark, New York based nurse practitioner who is specialized as Adult Health nurse. Active license number of Beverly J Provo is F3403661 for Family in New York. Her current practice location is 1208 Driving Park Ave, Newark. Patients can reach her at 315-359-2640. Beverly J Provo is GNPC with specialization in Adult Health and her NPI number (Unique professional ID assigned by NPPES) is 1215096482.
Beverly J Provo can evaluate, diagnose patients overall wellness, and conditions such as cancer, heart disease, diabetes, arthritis, sports injuries, and other ailments. She can see patients and promote healthy living and wellness. She can perform physical examinations, order and interpret tests, prescribe medications and treatments, and can also provide education and counseling to patients on wellness strategies and disease prevention.
Complete Profile:
Beverly J Provo speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Beverly J Provo |
| Specialization: | Adult Health Nurse Practitioner (ANP) |
| Gender: | Female |
| Credentials: | GNPC |
| Practice Address: | 1208 Driving Park Ave, Newark,
New York, 14513-1057 |
| Phone: | 315-359-2640 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1215096482 |
| NPI Enumeration Date: | 06 Dec, 2006 |
| NPI Last Update On: | 06 Jan, 2011 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Beverly J Provo are as mentioned below.
| License Number | Specialization | State | Status | |
| F3403661 | Family | New York | Primary | |
| F3041711 | Adult Health | New York | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Beverly J Provo
1208 Driving Park Ave,
Newark, New York |
| Zip: | 14513-1057 |
| Phone Number: | 315-359-2640 |
Patients can reach Beverly J Provo at
1208 Driving Park Ave, Newark, New York or can
call to book an appointment on 315-359-2640.
Comments/ Reviews:
Patients can read all the reviews posted for Beverly J Provo below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Beverly J Provo. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.