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Jennifer Marie Beaulieu
Psychiatric/Mental Health Nurse Practitioner in Payette, Idaho
NPI 1477258341

Jennifer Marie Beaulieu is a Psychiatric/Mental Health Nurse Practitioner based in Payette, ID and is specialized in Psychiatric/Mental Health. Jennifer Marie Beaulieu practices in Payette, ID. The NPI Number for Jennifer Marie Beaulieu is 1477258341 and holds a License No. 75717 (Idaho).

The current practice location address for Jennifer Marie Beaulieu is 1441 Ne 10Th Ave, Payette, ID and can be reached out via phone at 208-642-9376 and via fax at 208-642-9598.

Location: 1441 Ne 10Th Ave, Payette, ID, 83661-5420
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477258341
Provider Name
Jennifer Marie Beaulieu
Credential
Provider Entity Type
Individual
Gender
Female
Address
1441 Ne 10Th Ave, Payette, ID, 83661-5420
Phone Number
208-642-9376
Fax Number
208-642-9598
Provider Enumeration Date
03/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1441 Ne 10Th Ave
City
Payette
State
Idaho
Zip
83661-5420
Phone Number
208-642-9376
Fax Number
208-642-9598
person
Provider Business Mailing Address Details
Address
1441 Ne 10Th Ave
City
Payette
State
Idaho
Zip
83661-5420
Phone Number
208-642-9376
Fax Number
208-642-9598
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
75717 (Idaho)
Definition
Definition to come...
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