National Provider Identifier

Jody Germaine Beaudoin, AGNP

Jody Germaine Beaudoin, AGNP is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Elmira, NY and a listed phone number of (607) 737-4700.

NPI 1881163897Elmira, NYAdult Health Nurse Practitioner

Profile Overview

NPI
1881163897
Provider Type
Individual
Primary Specialty
Adult Health Nurse Practitioner
Enumeration Date
November 19, 2018
Last Updated
November 19, 2018

Practice Location

  • 100 Washington St
  • Elmira, NY 14901-2849

Phone: (607) 737-4700

Mailing Address

  • 1065 Sugar Hill RD
  • Beaver Dams, NY 14812-9741

Specialties

  • Adult Health Nurse Practitioner (363LA2200X)
Full Record
NPI
1881163897
Entity Type
Individual
Last Name
Beaudoin
First Name
Jody
Middle Name
Germaine
Name Prefix
MS.
Credential
AGNP
Mailing Street Address
1065 Sugar Hill RD
Mailing City
Beaver Dams
Mailing State
NY
Mailing ZIP Code
14812-9741
Mailing Country
US
Mailing Phone
(607) 684-0050
Practice Street Address
100 Washington St
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901-2849
Practice Country
US
Practice Phone
(607) 737-4700
Practice Fax
(607) 737-9080
Enumeration Date
November 19, 2018
Last Updated
November 19, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Adult Health Nurse Practitioner (363LA2200X)