| Doctor Name: | JENNIFER MARIE BEAVER |
| NPI Number: | 1023362092 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN 9273066 |
| Business Practice Address: | Jct. Hwy 160 & Navajo Route 35 - Red Mesa Four Corners Regional Health Center Teec Nos Pos, AZ - 86514 |
| Business Phone Number: | 9286565000 |
| Business Fax Number: | 9286565164 |
| Mailing Address: | Hcr 61 Box 30, Four Corners Regional Health Center TEEC NOS POS |
| State: | AZ |
| Postal Code: | 86514 |
| Phone Number: | 9286565000 |
| Fax Number: | 9286565164 |
| NPI Enumeration Date: | 10/30/2012 |
| NPI Last Update Date: | 10/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP2201X |
| License Number: | RN 9273066 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Ambulatory Care |
| Taxonomy Definition: | |