NPI 1639119084 · live from the CMS NPI Registry
Jennifer Beswick, NP
Nurse Practitioner, Pediatrics in Southgate, MI. National Provider Identifier 1639119084, active.
NPI record
| NPI | 1639119084 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 15777 Northline Rd, Southgate, MI 48195 |
| Practice phone | 734-246-8100 |
| Enumerated | June 7, 2006 |
| Last updated | October 9, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 4704203163 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.