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Organization

RENEE BEAUREGARD, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RENEE BEAUREGARD PMHNP-BC, RN (OWNER)
(717) 870-9303
Entity
Organization

Contact information

Practice address
1515 MOCKINGBIRD LN STE 420, CHARLOTTE, NC 28209-3236
(717) 870-9303
Mailing address
1515 MOCKINGBIRD LN STE 420, CHARLOTTE, NC 28209-3236
(980) 288-5305
(980) 260-0350

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
16125360
NC
Enumeration date
04/24/2025
Last updated
09/29/2025
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