Individual
JESSICA M BEERUP
Active
Individual
JESSICA M BEERUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2013025603
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265874903
—
MO
05
—
199694758
—
AR
01
—
431560263
TRICARE
MO
01
—
P01241140
RR MCR
MO
Enumeration date
07/23/2013
Last updated
06/02/2025
Update your record
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