Jessica Becker, RN, MSN
Individual provider Active NPI Case Management Registered Nurse · Grandville, MI
NPI 1285307983 · NPPES record last updated Jul 28, 2021
Key facts
- NPI
- 1285307983
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Management Registered Nurse 163WC0400X
- License
- 4704377061 (MI)
- Practice address
- 3097 Prairie St SW
Grandville, MI 49418-2000 - Phone
- (616) 537-9973
- Fax
- (616) 531-5577
- NPI assigned
- Jul 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704377061 | MI | MD | Case Management Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Treece Home Care Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 4704377061 | MI | Yes |
Addresses
Primary practice location
3097 Prairie St SW
Grandville, MI 49418-2000
Mailing address
3097 Prairie St SW
Grandville, MI 49418-2000
Phone (616) 537-9973
Other providers in Grandville, MI
- Baruch SLS, Inc.
- Baruch SLS, Inc.
- James Montana-Lee Bashore
- Leslie Aliison Bates
- Angela Stoddard Bearinger
- Candis Beckwith
- Hannah Belen
- Eryn Riley Belleman
- Jolene Larae Bennett
- Tiara Lenae Benson
All providers in Grandville, MI · Case Management Registered Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.