Search › Missouri › 207Q00000X
Jackie Beene, MD
NPI 1841296548 · on the registry since 2005
Practice
- Address
- 1540 E Evergreen St
Springfield, MO 65803 - Phone
- (417) 823-2900
- Fax
- (417) 886-2774
- Organisation at this address
- Sgoh Acquisition Inc
Primrose Nephrology, Inc.
Chest And Sleep Institute Of SpringfieldInferred from a shared address, not stated in the registry. - Clinicians at this address
- 34
Additional practice sites
- 327 E Airport Dr, Carthage, MO
- 112 N Webb St, Webb City, MO
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri