Individual
JENNIFER LYNN RUTH BEAUPRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
19742 W MORNING GLORY ST, BUCKEYE, AZ 85326-8203
(480) 725-7871
(480) 542-4708
Mailing address
19742 W MORNING GLORY ST, BUCKEYE, AZ 85326-8203
(480) 725-7871
(480) 542-4708
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
255904
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
63453
NM
Other
Enumeration date
08/05/2021
Last updated
02/13/2026
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