Individual
MICHELLE DIANE BEAUPRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-7550
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-7550
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
747149
TX
363LF0000X
Family Nurse Practitioner
Primary
747149
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2982043
—
TX
01
—
871N17
BCBS
TX
Enumeration date
01/03/2012
Last updated
05/12/2026
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