Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | ARNP 9398485 | FL |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | ARNP 9398485 | FL |
NPI | 1033508924 |
---|---|
Provider Name | Erin Beckett |
First Address | Fleming Island, FL 32003-2300 |
Second Address | Jacksonville, FL 32207-8210 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2015 |
Last Update Date | 16/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003166887A | (05) | GA |
014513200 | (05) | FL |