Provider Demographics
NPI:1649580473
Name:BEESON, DENISE RAE (APN)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:RAE
Last Name:BEESON
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:RAE
Other - Last Name:CLIFTON-JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:555 W 6TH ST
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN HOME
Mailing Address - State:AR
Mailing Address - Zip Code:72653-3409
Mailing Address - Country:US
Mailing Address - Phone:870-425-8288
Mailing Address - Fax:870-425-8299
Practice Address - Street 1:555 W 6TH ST
Practice Address - Street 2:
Practice Address - City:MOUNTAIN HOME
Practice Address - State:AR
Practice Address - Zip Code:72653-3409
Practice Address - Country:US
Practice Address - Phone:870-425-8288
Practice Address - Fax:870-424-8299
Is Sole Proprietor?:No
Enumeration Date:2010-10-14
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA03461363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR184875758Medicaid
AR283695YWUJOtherMEDICARE
ARA003461OtherARKANSAS STATE BOARD OF NURSING