Provider Demographics
NPI:1487016721
Name:BYRD-BEASLEY, JAMEE ARNETTE ELIZABETH (LPN)
Entity Type:Individual
Prefix:MRS
First Name:JAMEE
Middle Name:ARNETTE ELIZABETH
Last Name:BYRD-BEASLEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 STEVENSON RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44110-3176
Mailing Address - Country:US
Mailing Address - Phone:216-577-4970
Mailing Address - Fax:
Practice Address - Street 1:950 STEVENSON RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44110-3176
Practice Address - Country:US
Practice Address - Phone:216-577-4970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-25
Last Update Date:2016-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 078891164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse