Jenna R Beaulieu, RN, BSN
Individual provider Active NPI Registered Nurse · Mount Dora, FL
NPI 1497340814 · NPPES record last updated Aug 30, 2021
Key facts
- NPI
- 1497340814
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 9435789 (FL)
- Practice address
- 2260 W Old US Highway 441 Ste 314
Mount Dora, FL 32757-3508 - Phone
- (321) 529-1933
- NPI assigned
- Mar 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9435789 | FL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rejoice in Recovery LLC | Current |
Accepting new patients | |
| Rejoice in Diversities Home Health, LLC | Past |
Accepting new patients |
Locations
13758 E Highway 25
Unit 3
Ocklawaha, FL 32179
Phone (352) 805-0734
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9435789 | FL | Yes |
| Home Health Registered Nurse | 163WH0200X | 9435789 | FL | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 9435789 | FL |
Addresses
Primary practice location
2260 W Old US Highway 441 Ste 314
Mount Dora, FL 32757-3508
Mailing address
PO Box 314
Mount Dora, FL 32756-0314
Other providers in Mount Dora, FL
- Laura Elizabeth Bass
- Alisha Dawn Bateman
- Caroline Batson
- Jeffrey D Baumann
- Nekkiia Beasley
- Amy Eller Beer
- Robina W Belanger
- Eden Barbara Belgarde
- Bryan Belk
- Michael E Bell
All providers in Mount Dora, FL · Registered Nurse in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2021. 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.