Provider Demographics
NPI:1710756747
Name:BEASLEY, JAMI FRANCES (NP)
Entity Type:Individual
Prefix:
First Name:JAMI
Middle Name:FRANCES
Last Name:BEASLEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:660 MASON RIDGE CENTER DR STE 300
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8512
Mailing Address - Country:US
Mailing Address - Phone:314-448-3791
Mailing Address - Fax:
Practice Address - Street 1:20 PROGRESS POINT PKWY STE 108
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63368-2207
Practice Address - Country:US
Practice Address - Phone:636-344-2400
Practice Address - Fax:636-344-2401
Is Sole Proprietor?:No
Enumeration Date:2024-01-02
Last Update Date:2024-04-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MOAG12230066363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health