Individual
JULIE G THOMAS-BECKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
804 SERVICE RD STE A110, EAST LANSING, MI 48824-7015
(517) 355-2822
(517) 355-2824
Mailing address
804 SERVICE RD STE A202, EAST LANSING, MI 48824-7015
(517) 355-2822
(517) 355-2824
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704160542
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0N55170012
MEDICARE ADVANTAGE
MI
01
—
1059823
MCLAREN HEALTH ADVANTAGE
MI
01
—
200000006543
PHP
MI
05
—
4634529
—
MI
01
—
5008703640
BLUE CROSS BLUE SHIELD
MI
01
—
9340263
AETNA
MI
01
—
P00473882
RAILROAD MEDICARE
MI
Enumeration date
04/13/2006
Last updated
09/11/2025
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