Provider Demographics
NPI:1952137572
Name:BEAHM, JAYME ESTELLE
Entity type:Individual
Prefix:
First Name:JAYME
Middle Name:ESTELLE
Last Name:BEAHM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13425 HYMEADOW CIR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78729-1762
Mailing Address - Country:US
Mailing Address - Phone:361-894-3806
Mailing Address - Fax:
Practice Address - Street 1:1114 LOST CREEK BLVD STE 110
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-6676
Practice Address - Country:US
Practice Address - Phone:512-379-0288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX953548363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily