Organization · Type 2 NPI
Beacon Advanced Practice Group LLC
Family Nurse Practitioner · St. Augustine, FL
NPI number
1114881877
Active
Practice location
335 Tamar Ct
St. Augustine, FL 32095-7539
Fax (629) 899-7995
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in St. Augustine
About NPI 1114881877
Beacon Advanced Practice Group LLC's National Provider Identifier is 1114881877, issued on Dec 16, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Augustine, FL. The record was last updated on Dec 16, 2025.