Beerup, Jessica M

Beerup, Jessica M is an individual health care provider with primary practice located at 3051 William St , Cape Girardeau MO 63703-6393. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Beerup, Jessica M can be contacted via phone (573) 339-5940.

Contact Information

Primary practice address
3051 William St Cape Girardeau MO 63703-6393
Phone: (573) 339-5940
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2013025603 Missouri

Profile Details

NPI number 1265874903
LBN Legal business name Beerup, Jessica M
Credentials ACPCN
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2013
Last updated Oct 26th, 2016 - about 9 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 1265874903 NPPES
Arkansas MEDICAID 199694758
Arkansas Other 431560263
Arkansas MEDICAID 1265874903
Arkansas Other P01241140

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