Jillian May Beckstead
Case Manager/Care Coordinator in Provo, UT. Individual provider (NPI-1).
NPI number1063746089
StatusActive
Last updated in NPPESSep 23, 2009
Details
- NPI
- 1063746089
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jillian May Beckstead
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 23, 2009
- Last updated
- Sep 23, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
1165 E 300 NProvo, UT 84606-3539
Phone 801-592-0279
Mailing address
1513 S 175 EOrem, UT 84058-7680
Phone 801-592-0279
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