Individual
JENNIFER ANN BEATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, RN
Contact information
Practice address
210 GOVERNMENT RD, MATTAWA, WA 99349-0960
(509) 932-4499
(509) 932-5363
Mailing address
PO BOX 1581, MATTAWA, WA 99349-0960
(509) 932-4499
(509) 932-5363
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60671436
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0367728
(L&I)
WA
05
—
2034388
—
WA
Enumeration date
05/18/2007
Last updated
08/09/2021
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