Individual provider · Type 1 NPI

Beulah Joshua

Psychiatric/Mental Health Nurse Practitioner · St. Joseph, MO

NPI number 1689211609 Active

Practice location

5325 Faraon St
St. Joseph, MO 64506-3488

Mailing address

4907 Wilshire Dr N
St. Joseph, MO 64506-4583

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X2006015479 (MO)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X2020027127 (MO)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1689211609

Beulah Joshua's National Provider Identifier is 1689211609, issued on Dec 9, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in St. Joseph, MO. The record was last updated on Sep 16, 2026.