Provider Demographics
NPI:1457307779
Name:BEATTIE, JESSICA M (NP)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:M
Last Name:BEATTIE
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:WARNER AVE & COLLEGE DR
Mailing Address - Street 2:CALIFORNIA STATE UNIVERSITY, STUDENT HEALTH CENTER
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95929-0777
Mailing Address - Country:US
Mailing Address - Phone:530-898-5241
Mailing Address - Fax:530-898-4057
Practice Address - Street 1:WARNER AVE & COLLEGE DR
Practice Address - Street 2:CALIFORNIA STATE UNIVERSITY, STUDENT HEALTH CENTER
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95929-0777
Practice Address - Country:US
Practice Address - Phone:530-898-5241
Practice Address - Fax:530-898-4057
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2011-03-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CANP7570363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner