Individual
JACQUELINE M BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
278 VT ROUTE 149, METTOWEE VALLEY FAMILY HEALTH CENTER, WEST PAWLET, VT 05775-9798
(802) 645-0580
(802) 645-0587
Mailing address
278 VT ROUTE 149, METTOWEE VALLEY FAMILY HEALTH CENTER, WEST PAWLET, VT 05775-9798
(802) 645-0580
(802) 645-0587
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1010017766
VT
363L00000X
Nurse Practitioner
F3335321
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01956770
—
NY
05
—
ONP1463
—
VT
Enumeration date
07/21/2006
Last updated
07/08/2007
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