Individual
MS. JODY GERMAINE BEAUDOIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
100 WASHINGTON ST, ELMIRA, NY 14901-2849
(607) 737-4700
(607) 737-9080
Mailing address
1065 SUGAR HILL RD, BEAVER DAMS, NY 14812-9741
(607) 684-0050
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F308953-1
NY
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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