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Individual

JACQUELINE LEA BESHEARS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
601 BUSINESS LOOP 70 W, STE. 275, COLUMBIA, MO 65203-2585
(573) 874-0008
(573) 875-5350
Mailing address
25 CONLEY RD, COLUMBIA, MO 65201-6477
(573) 884-0169
(573) 884-1137

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2012033864
MO

Other

Enumeration date
10/10/2012
Last updated
02/28/2022
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