Becker, Jacqueline
Becker, Jacqueline is an individual health care provider with primary practice located at 16131 Roserush Ct , Fort Myers FL 33908-3634. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Becker, Jacqueline can be contacted via phone (239) 343-7300.Contact Information
Primary practice address
16131 Roserush Ct
Fort Myers FL 33908-3634
Phone: (239) 343-7300
Fax: (239) 343-5325
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | APRN9216538 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP9216538 | Florida |
Profile Details
| NPI number | 1679548143 |
|---|---|
| LBN Legal business name | Becker, Jacqueline |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2006 |
| Last updated | Dec 10th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679548143 | NPPES |
| Florida | MEDICAID | 125044100 |
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