Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Beacon Advanced Practice Group LLC

Organization Family Nurse Practitioner · NPI 1114881877

Beacon Advanced Practice Group LLC provides Family Nurse Practitioner services in St Augustine, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

335 Tamar Ct
St Augustine, FL 32095-7539
Phone: (904) 366-9981
Fax: (629) 899-7995
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1114881877
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Irina Vella — Owner / Authorized Official · (904) 366-9981
NPI enumeratedDecember 16, 2025
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025
Mailing address335 Tamar Ct, St Augustine, FL 32095-7539

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