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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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 1336541259 NPPES
Kentucky MEDICAID 7100327340
Kentucky MEDICAID 1336541259
Kentucky MEDICAID 1336541259
Kentucky MEDICAID Q009458

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