Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beacon Advanced Practice Group LLC

Organization Family Nurse Practitioner · NPI 1114881877

Beacon Advanced Practice Group LLC is a Family Nurse Practitioner 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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