=====================================================
General NPI Number Information
=====================================================
NPI Number | 1912603416
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JANA BEARDMORE NP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/06/2023
-----------------------------------------------------
Last Update Date | 06/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 805 FARSON ST STE 112
-----------------------------------------------------
City | BELPRE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45714-1000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-423-3202
-----------------------------------------------------
Fax | 740-423-3212
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 416 COLEGATE DR BLDG 3
-----------------------------------------------------
City | MARIETTA
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45750-9549
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-374-3526
-----------------------------------------------------
Fax | 740-374-3165
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | APRN.CNP.0033419
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------