SHANNA LYNN BEAULIEU NPI 1427664465

NPI Information

Shanna Lynn Beaulieu is a family nurse practitioner in Macon, GA with 4 years of experience. Shanna Lynn Beaulieu NPI is 1427664465. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

781 SPRING ST STE 230
MACON, GA
ZIP 31201-185
Phone: (478) 633-1547

The NPI 1427664465 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 9/16/2020 and was last updated on 9/16/2020.

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:

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