SHELBY CAROLYN BEAUCHAMP
NPI 1649665472
Student in an Organized Health Care Education/Training Program in Mobile, AL

Active since March 30, 2015
1200 SOMERBY DR APT 1012, MOBILE, AL 36695(980) 982-1299 Get Directions Write a Review

NPPES record last updated: March 30, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shelby Carolyn Beauchamp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELBY CAROLYN BEAUCHAMP (NPI 1649665472) is an individual student in an organized health care education/training program in Mobile, Alabama, licensed in Alabama (8652465) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1649665472
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHELBY CAROLYN BEAUCHAMP
Location Address1200 SOMERBY DR APT 1012Mobile, AL 36695-5435
Mailing Address1200 Somerby Dr Apt 1012Mobile, AL 36695-5435 · (980) 982-1299
Sole ProprietorNo
Enumeration DateMarch 30, 2015
NPI 1649665472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in AL · 8652465
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1200 SOMERBY DR APT 1012, Mobile, AL 36695

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649665472, enumerated as an "individual" on March 30, 2015.

The provider is located at 1200 SOMERBY DR APT 1012 MOBILE, AL 36695 and the phone number is (980) 982-1299.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.