James Glenn Beasley, CFNP
Individual provider Active NPI Family Nurse Practitioner · Tripler AMC, HI
NPI 1255313987 · NPPES record last updated Jul 21, 2023
Key facts
- NPI
- 1255313987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1071 (HI)
- Practice address
- 1 Jarrett White Rd
Tripler AMC, HI 96859-5001 - Phone
- (808) 433-8622
- Fax
- (808) 433-8334
- NPI assigned
- Nov 17, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1071 | HI | MD | Family Nurse Practitioner |
| 0024165406 | VA | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1071 | HI | Yes |
| Family Nurse Practitioner | 363LF0000X | 0024165406 | VA |
Addresses
Primary practice location
1 Jarrett White Rd
Tripler AMC, HI 96859-5001
Mailing address
92-112 Aweuweu PL a
Kapolei, HI 96707
Phone (808) 433-8622
Other providers in Tripler AMC, HI
- Branden Lee Bartlett
- Ruby Eva Bartolome
- Timothy Scott Batig
- Julie Anne Baunchalk
- Mark Richard Baus
- Sarah S Beasor
- Sandra J. Begley
- Charles Behnfield
- Crystal Louise Belew
- Austin Bell
All providers in Tripler AMC, HI · Family Nurse Practitioner in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2023. 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.