NPI 1265533764 · live from the CMS NPI Registry
Susan Ellen Beck, C.P.N.P.
Nurse Practitioner, Pediatrics in Jackson, MI. National Provider Identifier 1265533764, active.
NPI record
| NPI | 1265533764 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1310 Greenwood Ave, Jackson, MI 49203 |
| Practice phone | 517-962-0123 |
| Enumerated | September 26, 2006 |
| Last updated | July 1, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 4704219112 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.