Beaupre, Brooklyn
Beaupre, Brooklyn is an sole proprietor health care provider with primary practice located at 408 N State Of Franklin Rd Suite 24, Johnson City TN 37604-6089. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Beaupre, Brooklyn can be contacted via phone (423) 431-1810.Contact Information
Primary practice address
408 N State Of Franklin Rd Suite 24
Johnson City TN 37604-6089
Phone: (423) 431-1810
Fax: (423) 431-1811
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 19186 | Tennessee |
Profile Details
NPI number | 1336541259 |
---|---|
LBN Legal business name | Beaupre, Brooklyn |
Credentials | AG-ACNP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 23rd, 2014 |
Last updated | Jan 1st, 2024 - about 11 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1336541259 | NPPES |
Kentucky | MEDICAID | 7100327340 | |
Kentucky | MEDICAID | 1336541259 | |
Kentucky | MEDICAID | 1336541259 | |
Kentucky | MEDICAID | Q009458 |
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