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NPI Code Detail

MEDICARE: JODI L BEGGS

MEDICARE: JODI L BEGGS
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
1363LA2200XAdult Health Nurse Practitioner132544WI

General Provider Information

NPI Number : 1417373952
Entity Type Code : Individual
Provider Name (Legal Business Name) : JODI L BEGGS
Provider Business Mailing Address
First Line : 2000 E MILESTONE DR
Second Line :
City : APPLETON
State : WI
Zip : 54913-6701
Country : US
Telephone Number : 920-731-8131
Fax Number : 920-832-0444
Provider Business Practice Location Address
First Line : 2000 E MILESTONE DR
Second Line :
City : APPLETON
State : WI
Zip : 54913-6701
Country : US
Telephone Number : 920-731-8131
Fax Number : 920-832-0444
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2014
Last Update Date : 01/05/2026

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Directions to “ JODI L BEGGS ” Practice Location

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