Individual
ERIN BECKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
820 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8210
(575) 491-4958
Mailing address
1892 ADLER NEST LN, FLEMING ISLAND, FL 32003-2300
(575) 491-4958
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9398485
FL
363LN0000X
Neonatal Nurse Practitioner
Primary
ARNP 9398485
FL
363LN0005X
Critical Care Neonatal Nurse Practitioner
ARNP 9398485
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003166887A
—
GA
05
—
014513200
—
FL
Enumeration date
01/15/2015
Last updated
11/16/2018
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