Individual
ALLISON BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
60 MEMORIAL MEDICAL PKWY, PALM COAST, FL 32164-5980
(386) 586-2000
Mailing address
901 STERTHAUS DR, ORMOND BEACH, FL 32174-5133
(386) 671-1544
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
0024175647
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
11019828
FL
Other
Enumeration date
11/29/2017
Last updated
09/27/2022
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