| Doctor Name: | JENACA WILSON BEAGLEY |
| NPI Number: | 1023285459 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 4552629-3102 |
| Business Practice Address: | 1790 N State St Orem, UT - 840572025 |
| Business Phone Number: | 8012248255 |
| Business Fax Number: | 8012248301 |
| Mailing Address: | 1790 N State St, OREM |
| State: | UT |
| Postal Code: | 840572025 |
| Phone Number: | 8012248255 |
| Fax Number: | 8012248301 |
| NPI Enumeration Date: | 05/14/2008 |
| NPI Last Update Date: | 09/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WD0400X |
| License Number: | 4552629-3102 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | UT |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Diabetes Educator |
| Taxonomy Definition: | |