Provider Demographics
NPI:1336311836
Name:BEAUCHAMP, JANE FRANCES (RN)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:FRANCES
Last Name:BEAUCHAMP
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:JANE
Other - Middle Name:FRANCES
Other - Last Name:ZIMMERER-MAZZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1691 THE ALAMEDA
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-2203
Mailing Address - Country:US
Mailing Address - Phone:408-287-7532
Mailing Address - Fax:408-287-0405
Practice Address - Street 1:1119 PACIFIC AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-7503
Practice Address - Country:US
Practice Address - Phone:831-426-5550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN283559163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse