MRS. JUSTINE LYN BEAMAN FNP-BC NPI 1780227124

NPI Information

NPI: 1780227124
Provider Name: MRS. JUSTINE LYN BEAMAN, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: IN HOME MEDICAL GROUP LLC

PECOS Registration: Yes

Address:
2222 E STATE ST STE 209
ROCKFORD, IL
ZIP 61104
Phone: (815) 988-8500
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MRS. Justine Lyn Beaman, FNP-BC is a family nurse practitioner in Rockford, IL with 5 years of experience. MRS. Justine Lyn Beaman, FNP-BC NPI is 1780227124. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2222 E STATE ST STE 209
ROCKFORD, IL
ZIP 61104-572
Phone: (815) 988-8500
Fax: (815) 977-5956

The NPI 1780227124 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/17/2019 and was last updated on 11/18/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		041390906	ILLINOIS	No
2	363LF0000X	Nurse Practitioner	Family	209.020473	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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