Individual
JENNIFER MARIE BEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
JCT. HWY 160 & NAVAJO ROUTE 35 - RED MESA, FOUR CORNERS REGIONAL HEALTH CENTER, TEEC NOS POS, AZ 86514
(928) 656-5000
(928) 656-5164
Mailing address
HCR 61 BOX 30, FOUR CORNERS REGIONAL HEALTH CENTER, TEEC NOS POS, AZ 86514
(928) 656-5000
(928) 656-5164
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN 9273066
FL
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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