| 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 |