NPI 1174729271 · live from the CMS NPI Registry
Jennifer Lynn Beeckman, FNP
Nurse Practitioner, Family in Richmond, CA. National Provider Identifier 1174729271, active.
NPI record
| NPI | 1174729271 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 2727 Macdonald Ave, Richmond, CA 94804 |
| Practice phone | 510-213-6680 |
| Mailing address | 1801 Arrowhead Dr, Oakland, CA 94611 |
| Enumerated | June 25, 2007 |
| Last updated | July 21, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Obstetrics & Gynecology | 363LX0001X | NP13545 (CA) |
| Nurse Practitioner, Family primary | 363LF0000X | NP13545 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.