Individual
DR. JESSICA NOEL BEAUDOIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1440 S MAIN ST, BLACKSBURG, VA 24060-5568
(540) 953-2020
Mailing address
1440 S MAIN ST STE 100, BLACKSBURG, VA 24060-5569
(540) 953-2020
(888) 965-6578
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002667
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0618002667
VA LICENSE
VA
Enumeration date
06/20/2018
Last updated
06/20/2018
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