Individual
JENNIFER M BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
15650 CEDAR AVE, APPLE VALLEY, MN 55124-7283
(952) 997-4100
Mailing address
520 WHITE PINE WAY, EAGAN, MN 55123-4900
(612) 247-1233
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R-137493-9
MN
363LF0000X
Family Nurse Practitioner
Primary
1374939
MN
363LP2300X
Primary Care Nurse Practitioner
1374939
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
519160200
—
MN
Enumeration date
03/21/2006
Last updated
05/10/2024
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