Individual
ELYSE D BEAUBRUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4348 SOUTHPOINT BLVD, STE 100, JACKSONVILLE, FL 32216-0986
(904) 281-1915
(904) 281-1119
Mailing address
PO BOX 16568, JACKSONVILLE, FL 32245-6568
(904) 472-2300
(904) 472-2330
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
ARNP3285412
FL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
ARNP 3285412
FL
367A00000X
Advanced Practice Midwife
Primary
APRN3285412
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001194000
—
FL
Enumeration date
06/04/2009
Last updated
10/07/2020
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