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NPI Code Detail

MEDICARE: MS. JAMI L BEASLEY NNP

MEDICARE:  MS. JAMI L BEASLEY  NNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse Practitioner2002018099MO

General Provider Information

NPI Number : 1235324427
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JAMI L BEASLEY NNP
Provider Business Mailing Address
First Line : PO BOX 7412011
Second Line :
City : CHICAGO
State : IL
Zip : 60674-2011
Country : US
Telephone Number : 417-269-7728
Fax Number : 417-269-4608
Provider Business Practice Location Address
First Line : 3801 S NATIONAL AVE
Second Line : DIV PED NEWBORN MEDCINE, STE G800
City : SPRINGFIELD
State : MO
Zip : 65807-5210
Country : US
Telephone Number : 417-269-7728
Fax Number : 417-269-4608
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2007
Last Update Date : 04/14/2026

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Directions to “ MS. JAMI L BEASLEY NNP” Practice Location

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