Jordan Beasley
Physician Assistant in Rockville, MD. Individual provider (NPI-1).
NPI number1124669643
StatusActive
Last updated in NPPESOct 31, 2025
Details
- NPI
- 1124669643
- Entity type
- Individual (NPI-1)
- Name
- Jordan Beasley
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 6, 2019
- Certification date
- Oct 31, 2025
- Last updated
- Oct 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 3138 | OK | Yes |
Practice location
9901 Medical Center DrRockville, MD 20850-3357
Phone 240-826-6000
Mailing address
1923 S Utica AveTulsa, OK 74104-6520
Phone 918-748-7585
Other practice locations
1923 S Utica Ave
Tulsa, OK 74104-6520
Tulsa, OK 74104-6520
Phone 918-744-2645
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