Individual
JENNIFER L BECKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(325) 212-1566
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(325) 212-1566
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
728754
TX
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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