Individual
JEAN S BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8149 KINGSBURY BLVD, CLAYTON, MO 63105-3705
(314) 223-0690
(314) 721-7774
Mailing address
8149 KINGSBURY BLVD, CLAYTON, MO 63105-3705
(314) 223-0690
(314) 721-7774
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
091806
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425032703BE
—
MO
Enumeration date
08/30/2006
Last updated
12/13/2013
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