Healthcare Provider Details

I. General information

NPI: 1619806155
Provider Name (Legal Business Name): JESSICA BEARD RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 E 14TH AVE
WINFIELD KS
67156-4422
US

IV. Provider business mailing address

506 E 14TH AVE
WINFIELD KS
67156-4422
US

V. Phone/Fax

Practice location:
  • Phone: 620-218-6062
  • Fax:
Mailing address:
  • Phone: 620-218-6062
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number13-156020-052
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: