JEREMIAH THOMAS BEALL LPN - NPI 1093202863 - Licensed Practical Nurse in Tacoma, WA

Q: What is Jeremiah Beall's NPI number?

The NPI number for Jeremiah Beall is 1093202863. It was assigned to this individual provider in the NPPES registry on April 17, 2018.

Q: What is Jeremiah Beall's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeremiah Beall was last updated on April 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jeremiah Thomas Beall Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMIAH THOMAS BEALL LPN (NPI 1093202863) is an individual licensed practical nurse in Tacoma, Washington, licensed in Texas (325857) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1093202863

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NameJEREMIAH THOMAS BEALLCredential: LPN

Location Address9040 JACKSON AVE ATTN: MCHJ-CLQ-CTacoma, WA 98431-0001

Mailing Address9040 Jackson Ave Attn: Mchj-clq-cTacoma, WA 98431-0001 · (253) 968-1000

Phone(253) 968-1000

Sole ProprietorNo

Enumeration DateApril 17, 2018

✔ NPI 1093202863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

Licenses✔ Licensed in TX · 325857✔ Licensed in WA · LP60845138

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

9040 JACKSON AVE ATTN: MCHJ-CLQ-C, Tacoma, WA 98431

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