Wellformed AI

NPI 1508585381 · live from the CMS NPI Registry

Jenna Beeker, RDN

Dietitian, Registered in Constantine, MI. National Provider Identifier 1508585381, active.

NPI record

NPI1508585381 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location63067 Engle Rd, Constantine, MI 49042
Practice phone269-858-6968
EnumeratedAugust 24, 2022
Last updatedAugust 24, 2022
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered primary133V00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.