Individual
JONATHAN PHILIP BEARDSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
9772
MN
363LF0000X
Family Nurse Practitioner
Primary
9772
MN
Other
Enumeration date
12/02/2022
Last updated
04/10/2023
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