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NPI Code Detail

MEDICARE: FELICIA BEASLEY APRN

MEDICARE:   FELICIA  BEASLEY  APRN
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
1163W00000XRegistered NurseR107165AR
2363LF0000XFamily Nurse Practitioner227602AR

General Provider Information

NPI Number : 1669247714
Entity Type Code : Individual
Provider Name (Legal Business Name) : FELICIA BEASLEY APRN
Provider Business Mailing Address
First Line : PO BOX 497
Second Line :
City : AUGUSTA
State : AR
Zip : 72006-0497
Country : US
Telephone Number : 870-347-2534
Fax Number :
Provider Business Practice Location Address
First Line : 180 MEDICAL PARK PL STE 102
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71901-8066
Country : US
Telephone Number : 501-521-1942
Fax Number : 501-359-3010
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2023
Last Update Date : 01/20/2026

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Directions to “ FELICIA BEASLEY APRN” Practice Location

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