Individual
JENNIFER MARIE BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
901 MONTGOMERY ST, DECORAH, IA 52101-2325
(563) 382-2911
Mailing address
310 E BURGER ST, HAWKEYE, IA 52147-9110
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A155898
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295380400
—
IA
Enumeration date
08/05/2019
Last updated
08/03/2022
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