# B BEARDSLEY ARNP, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Introspect Mental Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659953586
- **Authorized official:** MR. BRUCE BRIAN BEARDSLEY ARNP (OWNER)
- **Authorized official phone:** (904) 321-9875

## Contact information

- **Practice address:** 12058 SAN JOSE BLVD STE 1003, JACKSONVILLE, FL 32223-8667
- **Practice address phone:** (904) 321-9875
- **Practice address fax:** (904) 321-9890
- **Mailing address:** 12058 SAN JOSE BLVD STE 1003, JACKSONVILLE, FL 32223-8667
- **Mailing address phone:** (904) 321-9875
- **Mailing address fax:** (904) 321-9890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/21/2021
- **Last updated:** 04/21/2021