Individual provider · NPI-1

Jackie Beecham, CRNP

Nurse Practitioner, Obstetrics & Gynecology · West Reading, PA

NPI number1700850377
StatusActive
Last updated in NPPESApr 30, 2013

Details

NPI
1700850377
Entity type
Individual (NPI-1)
Name
Jackie Beecham
Credential
CRNP
Sex
Female
Sole proprietor
No
Enumeration date
Feb 13, 2006
Last updated
Apr 30, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LX0001X Nurse Practitioner, Obstetrics & GynecologyTP001968GPAYes

Practice location

301 S 7th Ave
Suite 245
West Reading, PA 19611-1410

Phone 610-374-2214 · Fax 610-374-8852

Mailing address

301 S 7th Ave
Suite 245
West Reading, PA 19611-1410

Phone 610-374-2214 · Fax 610-374-8852

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