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Individual

JACQUELINE BECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
16131 ROSERUSH CT, FORT MYERS, FL 33908-3634
(239) 343-7300
(239) 343-5325
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-7300
(239) 343-5325

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9216538
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9216538
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
125044100
FL
Enumeration date
02/20/2006
Last updated
12/10/2025
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