Individual
MS. JESSICA L BEACOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
16001 W 9 MILE RD, 101 FISCHER CENTER, SOUTHFIELD, MI 48075-4818
(248) 849-8716
(248) 849-2565
Mailing address
16001 W 9 MILE RD, 101 FISCHER CENTER, SOUTHFIELD, MI 48075-4818
(248) 849-8716
(248) 849-2565
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704233135
MI
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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