Provider Demographics
NPI:1689004715
Name:BEAMES BEGLEY, JO ANN (LPN)
Entity Type:Individual
Prefix:
First Name:JO ANN
Middle Name:
Last Name:BEAMES BEGLEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:JO ANN
Other - Middle Name:
Other - Last Name:BEAMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:185 BEVIER ST
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13904-1013
Mailing Address - Country:US
Mailing Address - Phone:607-296-4077
Mailing Address - Fax:
Practice Address - Street 1:185 BEVIER ST
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13904-1013
Practice Address - Country:US
Practice Address - Phone:607-296-4077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-27
Last Update Date:2013-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY258019164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse