Individual
MR. JAMES GLENN BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CFNP
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER AMC, HI 96859-5001
(808) 433-8622
(808) 433-8334
Mailing address
92-112 AWEUWEU PL A, KAPOLEI, HI 96707
(808) 433-8622
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024165406
VA
363LF0000X
Family Nurse Practitioner
Primary
1071
HI
Other
Enumeration date
11/17/2005
Last updated
07/21/2023
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