Frank Joseph Beaupre, 101YP2500X
Individual provider Active NPI Counselor · Jacksonville, AR
NPI 1407361900 · NPPES record last updated May 12, 2018
Key facts
- NPI
- 1407361900
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- A1711324 (AR)
- Practice address
- 2126 N 1St St Ste F
Jacksonville, AR 72076-2868 - Phone
- (501) 982-5000
- Fax
- (501) 982-5007
- NPI assigned
- Dec 6, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1711324 | AR | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | A1711324 | AR | Yes |
Addresses
Primary practice location
2126 N 1St St Ste F
Jacksonville, AR 72076-2868
Mailing address
1815 Pleasant Grove Rd
Jonesboro, AR 72401-7870
Phone (870) 933-6886
Other providers in Jacksonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.