Individual
JENNINE BECKMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4000 N ILLINOIS LN STE 110, SWANSEA, IL 62226-1969
(618) 257-6380
(618) 257-6444
Mailing address
660 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141-8512
(314) 448-3791
(314) 996-7658
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209022405
IL
363LF0000X
Family Nurse Practitioner
Primary
209022405
IL
Other
Enumeration date
10/07/2021
Last updated
09/19/2025
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