Individual
MRS. JENNIFER DIANE BEAUVAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 554-0595
Mailing address
947 150TH AVENUE, BALSAM LAKE, WI 54810
(715) 554-0595
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6853
WI
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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