Individual
JESSICA BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN
Contact information
Practice address
3097 PRAIRIE ST SW, GRANDVILLE, MI 49418-2000
(616) 537-9973
(616) 531-5577
Mailing address
3097 PRAIRIE ST SW, GRANDVILLE, MI 49418-2000
(616) 537-9973
(616) 531-5577
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
4704377061
MI
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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