Individual
BROOKLYN BEAUPRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
408 N STATE OF FRANKLIN RD, SUITE 24, JOHNSON CITY, TN 37604-6089
(423) 431-1810
(423) 431-1811
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
19186
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336541259
—
NC
05
—
1336541259
—
VA
05
—
7100327340
—
KY
05
—
Q009458
—
TN
Enumeration date
09/23/2014
Last updated
01/01/2024
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