Individual
MRS. JENNA N BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 WALTER SCHOLER DR, LAFAYETTE, IN 47909-6303
(765) 448-8000
Mailing address
7973 N FRANKFORT RD, THORNTOWN, IN 46071-9033
(765) 618-3203
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
28236032A
IN
363LF0000X
Family Nurse Practitioner
28236032A
IN
363LF0000X
Family Nurse Practitioner
Primary
71014282A
IN
Other
Enumeration date
08/24/2022
Last updated
09/05/2023
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