Individual
JENE MICHELLE BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 MARYLAND AVE, WATERLOO, IA 50701-4129
(773) 505-2804
Mailing address
111 MARYLAND AVE, WATERLOO, IA 50701-4129
(773) 505-2804
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A154762
IA
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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