Jason Ronald Beall, RN
Individual provider Active NPI Emergency Registered Nurse · Valrico, FL
NPI 1164699682 · NPPES record last updated May 14, 2008
Key facts
- NPI
- 1164699682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Registered Nurse 163WE0003X
- License
- RN9214696 (FL)
- Practice address
- 4433 Horseshoe Pick LN
Valrico, FL 33594-9304 - Phone
- (813) 681-7896
- NPI assigned
- May 14, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9214696 | FL | MD | Emergency Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | RN9214696 | FL | Yes |
Addresses
Primary practice location
4433 Horseshoe Pick LN
Valrico, FL 33594-9304
Mailing address
4433 Horseshoe Pick LN
Valrico, FL 33594-9304
Phone (813) 681-7896
Other providers in Valrico, FL
- Baycare Urgent Care, LLC
- Baycare Urgent Care, LLC
- Baycare Urgent Care, LLC
- Baycare Urgent Care, LLC
- Bayvue Assisted Living
- Behavioral Health Management Services, Inc.
- Theresa Benefield
- Jordan Benibanonde
- Benrac Tender Care Inc
- Fay Ann Bergeron
All providers in Valrico, FL · Emergency Registered Nurse in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.