JOHNNA LEA BEUERLEIN APRN NPI 1255382388

NPI Information

NPI: 1255382388
Provider Name: JOHNNA LEA BEUERLEIN, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
176C W UNIVERSITY PKWY # C
JACKSON, TN
ZIP 38305
Phone: (731) 660-6915
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Johnna Lea Beuerlein, APRN is a family nurse practitioner in Jackson, TN. Johnna Lea Beuerlein, APRN NPI is 1255382388. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

176C W UNIVERSITY PKWY # C
JACKSON, TN
ZIP 38305-616
Phone: (731) 660-6915
Fax: (731) 668-4557

The NPI 1255382388 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/13/2006 and was last updated on 11/26/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	APN6364	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	3908777	MEDICAID	TENNESSEE
2	3908777	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE
3	S47153	MEDICARE UPIN	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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