Individual
JENNIFER BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37 FRIAR TUCK WAY, SARATOGA SPRINGS, NY 12866-6165
(607) 288-2263
Mailing address
37 FRIAR TUCK WAY, SARATOGA SPRINGS, NY 12866-6165
(607) 288-2263
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403100
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06254360
—
NY
Enumeration date
07/30/2020
Last updated
08/23/2022
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