Individual
JENNIFER BESWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15777 NORTHLINE RD, SOUTHGATE, MI 48195-2385
(734) 246-8100
Mailing address
15777 NORTHLINE RD, SOUTHGATE, MI 48195-2385
(734) 246-8100
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704203163
MI
Other
Enumeration date
06/07/2006
Last updated
10/09/2012
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