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NPI Code Detail

MEDICARE: MS. JENNIFER LYNN BEECKMAN FNP

MEDICARE: MS. JENNIFER LYNN BEECKMAN FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LX0001XObstetrics & Gynecology Nurse PractitionerNP13545CA
2363LF0000XFamily Nurse PractitionerNP13545CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174729271
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JENNIFER LYNN BEECKMAN FNP
Provider Business Mailing Address
First Line : 1801 ARROWHEAD DR
Second Line :
City : OAKLAND
State : CA
Zip : 94611
Country : US
Telephone Number : 510-530-8648
Fax Number :
Provider Business Practice Location Address
First Line : 2727 MACDONALD AVE
Second Line :
City : RICHMOND
State : CA
Zip : 94804-3006
Country : US
Telephone Number : 510-213-6680
Fax Number : 510-213-6680
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2007
Last Update Date : 07/21/2022

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