Individual
JANUARY LEE BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1902 TAMARACK RD, NEWARK, OH 43055-2303
(220) 564-7975
(220) 564-7976
Mailing address
1902 TAMARACK RD, NEWARK, OH 43055-2303
(220) 564-7975
(220) 564-7976
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.023351
OH
363LA2200X
Adult Health Nurse Practitioner
APRN.CNP.023351
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0307823
—
OH
Enumeration date
07/31/2018
Last updated
01/23/2024
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