Individual
MRS. KRISTY LEE BEAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
12443 SAN JOSE BLVD STE 604, JACKSONVILLE, FL 32223-8652
(561) 266-8866
(561) 404-4735
Mailing address
12443 SAN JOSE BLVD STE 604, JACKSONVILLE, FL 32223-8652
(561) 266-8866
(561) 404-4735
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
9203802
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP9203802
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2023033477
AMERICAN NURSE CREDENTIALING CENTER
FL
Enumeration date
08/31/2017
Last updated
11/17/2023
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