Individual
SHELLEYANN BEAUBRUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
4136 NEWTON DR NE, COVINGTON, GA 30014-2521
(770) 569-3205
Mailing address
463 SILVERTON DR, MCDONOUGH, GA 30252-4222
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
RN193787
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN193787
GA
Other
Enumeration date
11/05/2014
Last updated
04/14/2024
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