Healthcare Provider Details

I. General information

NPI: 1730066457
Provider Name (Legal Business Name): JANELL RENEE BEAMON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2025
Last Update Date: 08/18/2025
Certification Date: 08/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4330 E GARLAND AVE
FRESNO CA
93726-6102
US

IV. Provider business mailing address

153 N ADLER AVE
CLOVIS CA
93612-0140
US

V. Phone/Fax

Practice location:
  • Phone: 559-248-7080
  • Fax:
Mailing address:
  • Phone: 559-307-2926
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95020516
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN425674
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: