Individual
STACEY A. BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-2000
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-4658
(614) 722-6746
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.07722
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3032006
—
OH
01
—
NP07722
CNP NUMBER
OH
01
—
RN302896
RN LICENSE NUMBER
OH
Enumeration date
11/04/2005
Last updated
04/25/2025
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