| NPI | 1194774919 |
|---|---|
| Doing Business As | BEAUMONT PROFESSIONAL SERVICES/NURSE PRACTIONER |
| Entity Type | Organization |
| Authorized Contact | LEE ANN ODOM President Shared Services 947-522-3326 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2021-10-01 |