Individual
JACQUELINE BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
61 W SPRINGHILL DR, TERRE HAUTE, IN 47802-8767
(812) 208-7279
Mailing address
61 W SPRINGHILL DR, TERRE HAUTE, IN 47802-8767
(812) 208-7279
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
28216612A
IN
Other
Enumeration date
03/29/2025
Last updated
03/29/2025
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