Individual provider · Type 1 NPI

Jordan Beasley

Physician Assistant · Rockville, MD

NPI number 1124669643 Active

Practice location

9901 Medical Center Dr
Rockville, MD 20850-3357

Call (240) 826-6000 Map

Mailing address

1923 S Utica Ave
Tulsa, OK 74104-6520

Other practice locations

  • 1923 S Utica Ave, Tulsa, OK 74104-6520 · (918) 744-2645

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X3138 (OK)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1124669643

Jordan Beasley's National Provider Identifier is 1124669643, issued on Oct 6, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Rockville, MD. The record was last updated on Oct 31, 2025.