Individual
MRS. SUSAN ELLEN BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.P.N.P.
Contact information
Practice address
1310 GREENWOOD AVE, JACKSON, MI 49203-3077
(517) 962-0123
(517) 201-8067
Mailing address
1310 GREENWOOD AVE, JACKSON, MI 49203-3077
(517) 962-0123
(517) 201-8067
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704219112
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83 20030
PHP
MI
Enumeration date
09/26/2006
Last updated
07/01/2025
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