Individual
JENNIFER MCDONALD-BECKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3419 QUICKSILVER LN, CLARKSVILLE, TN 37042-9524
(615) 474-1370
Mailing address
3419 QUICKSILVER LN, CLARKSVILLE, TN 37042-9524
(615) 474-1370
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0000057954
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000057954
TENNESSEE BOARD OF NURSING
OH
Enumeration date
07/21/2016
Last updated
07/21/2016
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