Individual provider · Type 1 NPI

Leslie Beaty, APRN

Family Nurse Practitioner · Jacksonville, FL

NPI number 1912629965 Active

Practice location

3625 University Blvd S
Jacksonville, FL 32216-4207

Mailing address

12427 Mesa Verde Trl
Jacksonville, FL 32223-3295

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XPRN11012030 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1912629965

Leslie Beaty, APRN's National Provider Identifier is 1912629965, issued on Sep 15, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 15, 2022.