- Practice location
- 697 Louisiana RD Bldg 9201, Dyess Afb, TX 79607-1141
- Phone
- 325-696-6603
- Fax
- —
- Last updated
- September 6, 2023
Jessica Rose Beaver is a Military Health Care Provider, Independent Duty Medical Technicians based in Dyess Afb, TX. Jessica Rose Beaver practices in Dyess Afb, TX. The NPI Number for Jessica Rose Beaver is 1154994838. The current practice location address for Jessica Rose Beaver is 697 Louisiana RD Bldg 9201, Dyess Afb, TX 79607-1141 and can be reached out via phone at 325-696-6603.
Provider Profile Details
- NPI Number
- 1154994838
- Provider Name
- Jessica Rose Beaver
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 697 Louisiana RD Bldg 9201, Dyess Afb, TX 79607-1141
- Phone Number
- 325-696-6603
- Primary Taxonomy
- Military Health Care Provider, Independent Duty Medical Technicians · 1710I1003X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 21, 2021
- Last Update Date
- September 6, 2023
- Certification Date
- September 6, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 697 Louisiana RD Bldg 9201
Dyess Afb, TX 79607-1141 - City
- Dyess Afb
- State
- Texas
- Zip
- 79607-1141
- Phone Number
- 325-696-6603
Provider Business Mailing Address Details
- Address
- 4 Higgins Dr
Vernon, NJ 07462-3025 - City
- Vernon
- State
- NJ
- Zip
- 07462-3025
- Phone Number
- 973-941-1237
License Information
- Taxonomy
- Military Health Care Provider, Independent Duty Medical Technicians · 1710I1003X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Military Health Care Provider, Independent Duty Medical Technicians providers near Dyess Afb, TX
View all Military Health Care Provider, Independent Duty Medical Technicians providers in Dyess Afb →Frequently Asked Questions
What is the NPI number of Mrs. Jessica R Beaver?
The NPI number of Mrs. Jessica R Beaver is 1154994838. It was assigned on July 21, 2021 and is currently active in the NPPES registry.
What is the specialty of Mrs. Jessica R Beaver?
Mrs. Jessica R Beaver is registered under the primary taxonomy Military Health Care Provider, Independent Duty Medical Technicians (code 1710I1003X).
Where does Mrs. Jessica R Beaver practice?
The practice location is 697 Louisiana RD Bldg 9201, Dyess Afb, TX 79607-1141. The office can be reached at 325-696-6603 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154994838 directly on the NPPES registry website.