| NPI | 1306681366 | 
|---|---|
| Former Name | JENNI BEAULIEU | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2274491) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024190572) | 
| Enumeration Date | 2024-07-01 | 
| Last Update Date | 2025-09-10 |