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Jenna R Beaulieu, RN, BSN

Registered Nurse in Mount Dora, FL. Individual provider (NPI-1).

NPI number1497340814
StatusActive
Last updated in NPPESAug 30, 2021

Details

NPI
1497340814
Entity type
Individual (NPI-1)
Name
Jenna R Beaulieu
Credential
RN, BSN
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 8, 2021
Certification date
Aug 30, 2021
Last updated
Aug 30, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse9435789FLYes
163WH0200X Registered Nurse, Home Health9435789FL
163WP0808X Registered Nurse, Psych/Mental Health9435789FL

Practice location

2260 W Old Us Highway 441 Ste 314
Mount Dora, FL 32757-3508

Phone 321-529-1933

Mailing address

Po Box 314
Mount Dora, FL 32756-0314

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Other Registered Nurse providers in Mount Dora, FL

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