Individual
JENNIFER JO BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1543 US HIGHWAY 61, FESTUS, MO 63028-4023
(314) 221-6970
Mailing address
1543 US HIGHWAY 61, FESTUS, MO 63028-4023
(314) 221-6970
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2013029142
MO
363LF0000X
Family Nurse Practitioner
2017036480
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2021036669
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420066013
—
MO
Enumeration date
04/05/2018
Last updated
03/06/2025
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