-- JENACA WILSON BEAGLEY -- APRN
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1023285459- Provider Type
- Individual Provider (NPI-1)
- Credentials
- APRN
- Status
- Active
Contact & Location
- Address
- 1790 N STATE ST, OREM, UT, 840572025
- Phone
- (801) 224-8255
- Fax
- (801) 224-8301
Specialties & Taxonomies
Registered Nurse, Diabetes Educator
License: UT #4552629-3102
Nurse Practitioner, Family
Primary License: UT #4552629-4405