Beagley, Jenaca Wilson

Beagley, Jenaca Wilson is an sole proprietor health care provider with primary practice located at 1790 N State St , Orem UT 84057-2025. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Diabetes Educator, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Beagley, Jenaca Wilson can be contacted via phone (801) 224-8255.

Contact Information

Primary practice address
1790 N State St Orem UT 84057-2025
Phone: (801) 224-8255
Fax: (801) 224-8301
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X 4552629-3102 Utah
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4552629-4405 Utah

Profile Details

NPI number 1023285459
LBN Legal business name Beagley, Jenaca Wilson
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2008
Last updated Sep 19th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023285459 NPPES
Utah MEDICAID 15856

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