Individual provider · NPI-1

Jennifer Beswick, NP

Nurse Practitioner, Pediatrics · Southgate, MI

NPI number1639119084
StatusActive
Last updated in NPPESOct 9, 2012

Details

NPI
1639119084
Entity type
Individual (NPI-1)
Name
Jennifer Beswick
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Jun 7, 2006
Last updated
Oct 9, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics4704203163MIYes

Practice location

15777 Northline Rd
Southgate, MI 48195-2385

Phone 734-246-8100

Mailing address

15777 Northline Rd
Southgate, MI 48195-2385

Phone 734-246-8100

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