Beaubrun, Elyse D

Beaubrun, Elyse D is an individual health care provider with primary practice located at 4348 Southpoint Blvd Ste 100, Jacksonville FL 32216-0986. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Beaubrun, Elyse D can be contacted via phone (904) 281-1915.

Contact Information

Primary practice address
4348 Southpoint Blvd Ste 100 Jacksonville FL 32216-0986
Phone: (904) 281-1915
Fax: (904) 281-1119
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP3285412 Florida
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X ARNP 3285412 Florida
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X APRN3285412 Florida

Profile Details

NPI number 1396971305
LBN Legal business name Beaubrun, Elyse D
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2009
Last updated Oct 7th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396971305 NPPES
Florida MEDICAID 001194000

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