Individual
JONATHAN RICHARD BEAUCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
235 WELLESLEY ST, WESTON, MA 02493-1572
(513) 368-5133
Mailing address
5126 OAK BROOK DR, CINCINNATI, OH 45244-5043
(513) 368-5133
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
344177
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0032474
OH
Other
Enumeration date
03/14/2022
Last updated
10/23/2023
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