Becker, Jennifer Marie

Becker, Jennifer Marie is an sole proprietor health care provider with primary practice located at 901 Montgomery St , Decorah IA 52101-2325. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Becker, Jennifer Marie can be contacted via phone (563) 382-2911.

Contact Information

Primary practice address
901 Montgomery St Decorah IA 52101-2325
Phone: (563) 382-2911
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A155898 Iowa

Profile Details

NPI number 1295380400
LBN Legal business name Becker, Jennifer Marie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2019
Last updated Aug 3rd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295380400 NPPES
Iowa MEDICAID 1295380400

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