Organization
BEACON MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN JACKSON APRN (OWNER)
(850) 290-8410
Entity
Organization
Contact information
Practice address
45 INDUSTRIAL BLVD STE C, PENSACOLA, FL 32503-7668
(850) 290-8410
(866) 574-6391
Mailing address
45 INDUSTRIAL BLVD STE C, PENSACOLA, FL 32503-7668
(850) 290-8410
(866) 574-6391
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
02/21/2018
Last updated
06/23/2023
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