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Contact Information

JENNA R BEAULIEU, RN, BSN
2260 W OLD US HIGHWAY 441 STE 314
MOUNT DORA, FL32757-3508
 Phone: 321-529-1933
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Home Health

163WH0200X
 

Psychiatric/Mental Health

163WP0808X
Indicates primary specialty

NPI Profile & details for JENNA R BEAULIEU · (Female)

NPI # 1497340814
Status Active
Credentials RN, BSN
Entity Individual
Enumeration date 03/08/2021
Last updated 08/30/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # 9435789
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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