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Individual

JENNIFER MARIE BEAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
621 MEMORIAL DR STE 402, SOUTH BEND, IN 46601-1074
(574) 400-4550
(574) 400-4551
Mailing address
621 MEMORIAL DR STE 402, SOUTH BEND, IN 46601-1074
(574) 400-4550
(574) 400-4551

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
28192620A
IN
363LF0000X
Family Nurse Practitioner
Primary
71008062A
IN

Other

Enumeration date
06/21/2018
Last updated
02/12/2024
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