BROOKLYN BEAUPRE AG-ACNP NPI 1336541259

NPI Information

Brooklyn Beaupre, AG-ACNP is an acute care nurse practitioner in Johnson City, TN with 10 years of experience. Brooklyn Beaupre, AG-ACNP NPI is 1336541259. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2014

The provider's business location address is:

408 N STATE OF FRANKLIN RD
SUITE 24
JOHNSON CITY, TN
ZIP 37604-089
Phone: (423) 431-1810
Fax: (423) 431-1811

The NPI 1336541259 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/23/2014 and was last updated on 1/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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