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Eric Michael Beaulieu, FNP
Family Nurse Practitioner in Kingsport, Tennessee
NPI 1093388175

Eric Michael Beaulieu is a Family Nurse Practitioner based in Kingsport, TN and is specialized in Family. Eric Michael Beaulieu practices in Kingsport, TN and has the professional credentials of FNP. The NPI Number for Eric Michael Beaulieu is 1093388175 and holds a License No. 29882 (Tennessee).

The current practice location address for Eric Michael Beaulieu is 2204 Pavilion Dr Ste 108, Kingsport, TN and can be reached out via phone at 423-392-6100 and via fax at 423-392-6159.

Location: 2204 Pavilion Dr Ste 108, Kingsport, TN, 37660-4651
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Provider Profile Details
NPI Number
1093388175
Provider Name
Eric Michael Beaulieu
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
2204 Pavilion Dr Ste 108, Kingsport, TN, 37660-4651
Phone Number
423-392-6100
Fax Number
423-392-6159
Provider Enumeration Date
07/19/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q068089 05 TN
institution
Provider Business Practice Location Address Details
Address
2204 Pavilion Dr Ste 108
City
State
Zip
37660-4651
Phone Number
423-392-6100
Fax Number
423-392-6159
person
Provider Business Mailing Address Details
Address
2204 Pavilion Dr Ste 108
City
State
Zip
37660-4651
Phone Number
423-392-6100
Fax Number
423-392-6159
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
29882 (Tennessee)
Definition
Definition to come...
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