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Individual

MS. JACLYN MICHELLE BEATTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
192187
TN
163W00000X
Registered Nurse
26NR17665400
NJ
363L00000X
Nurse Practitioner
Primary
95004745
CA
363LP0200X
Pediatric Nurse Practitioner
20625
TN

Other

Enumeration date
11/02/2015
Last updated
04/24/2023
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