Individual
JEANNE CAMILLE BEAUCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3350 CRAIN HWY, WALDORF, MD 20603-4850
(888) 808-6483
Mailing address
PO BOX 2605, YAKIMA, WA 98907-2605
(509) 454-4143
(509) 454-3651
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00169033
WA
363LF0000X
Family Nurse Practitioner
Primary
AC001700
MD
363LF0000X
Family Nurse Practitioner
AP60030592
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP60030592
ARNP LICENSE
WA
01
—
RN00169033
WASHINGTON RN LICENSE
WA
Enumeration date
06/02/2008
Last updated
02/27/2019
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