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Contact Information

JACOB C BEACH, MSN,APRN,FNP-C, CEN
414 PARK AVE
DANVILLE, VA24541-4630
 Phone: 434-857-3600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Emergency

163WE0003X
Indicates primary specialty

NPI Profile & details for JACOB C BEACH · (Male)

NPI # 1497169197
Status Active
Credentials MSN,APRN,FNP-C, CEN
Entity Individual
Enumeration date 06/20/2014
Last updated 07/25/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0001238176
  • VA License # 0024177331
Hospital affiliation(s)
  • CENTRA HEALTH INC - (Acute Care)
    1920 ATHERHOLT ROAD
    LYNCHBURG, VA 24501
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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