Basic Information
| Provider Information | |||||||||
| NPI: | 1518267533 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BEAUREGARD | ||||||||
| FirstName: | SHARI | ||||||||
| MiddleName: | LEE | ||||||||
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| Credential: | MSN,RN,ANP-BC,ACHPN | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 440100 | ||||||||
| Address2: | |||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372440100 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153290570 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2011 CHURCH ST | ||||||||
| Address2: | LOWER LEVEL PLAZA 1 | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372032000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6152847785 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/25/2010 | ||||||||
| LastUpdateDate: | 02/02/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2200X | 15399 | TN | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health | 163W00000X | 162329 | TN | N | Nursing Service Providers | Registered Nurse |
No ID Information.