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Individual

BRITTANY JADE BEAUCHAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2475 GARRISON AVE, PORT ST JOE, FL 32456-5265
(850) 227-1276
(850) 227-1766
Mailing address
2475 GARRISON AVE, PORT ST JOE, FL 32456-5265
(850) 227-1276
(850) 227-1766

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
RN9265009
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11007774
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
APRN11007774
APRN LICENSE
FL
01
RN9265009
LICENSE
FL
Enumeration date
09/18/2008
Last updated
06/26/2020
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