Organization
TRUE PHOENIX COMMUNITY CARE, LLC
Active
Other names
True Phoenix, True Phoenix Community Care, True Phoenix Functional Medicine Center, True Phoenix Functional Health
Organization subpart
No
Provider details
NPI number
Authorized official
JINAYA S. BEATTY DNP, CRNP, FNP-BC (CEO/MEDICAL DIRECTOR)
(443) 793-7220
Entity
Organization
Contact information
Practice address
2316 E JOPPA RD STE 1, PARKVILLE, MD 21234-2808
(443) 793-7220
(443) 687-8705
Mailing address
2316 E JOPPA RD STE 1, PARKVILLE, MD 21234-2808
(443) 793-7220
(443) 687-8705
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
502149901
—
MD
Enumeration date
01/30/2019
Last updated
12/02/2025
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