Healthcare Provider Details

I. General information

NPI: 1801715172
Provider Name (Legal Business Name): JOHN PATRICK BEIRNE RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11000 UNIVERSITY PKWY
PENSACOLA FL
32514-5750
US

IV. Provider business mailing address

11000 UNIVERSITY PKWY
PENSACOLA FL
32514-5750
US

V. Phone/Fax

Practice location:
  • Phone: 850-474-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberRN9311545
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: