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Beacon Medical Group, Inc.
Nurse Practitioner in South Bend, Indiana
NPI 1083665673

Beacon Medical Group, Inc. is a Nurse Practitioner based in South Bend, IN. Beacon Medical Group, Inc. practices in South Bend, IN. The NPI Number for Beacon Medical Group, Inc. is 1083665673 and holds a License No. 71000651A (Indiana).

The current practice location address for Beacon Medical Group, Inc. is 926 Erskine Plz, South Bend, IN and can be reached out via phone at 800-635-5516 and via fax at 574-647-6514. You can also correspond with Beacon Medical Group, Inc. through the mailing address at 710 N NILES AVE, SOUTH BEND, IN - 46617-1924 (mailing address contact number: 574-647-1610).

Location: 926 Erskine Plz, South Bend, IN, 46617-1924
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083665673
Provider Name
Beacon Medical Group, Inc.
Credential
Provider Entity Type
Organization
Address
926 Erskine Plz, South Bend, IN, 46617-1924
Phone Number
800-635-5516
Fax Number
574-647-6514
Provider Enumeration Date
05/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200130710H 05 IN
200130710I 05 IN
200130710J 05 IN
200130710K 05 IN
institution
Provider Business Practice Location Address Details
Address
926 Erskine Plz
City
South Bend
State
Indiana
Zip
46614-3244
Phone Number
800-635-5516
Fax Number
574-647-6514
person
Provider Business Mailing Address Details
Address
710 N Niles Ave
City
South Bend
State
Indiana
Zip
46617-1924
Phone Number
574-647-1610
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
71000651A (Indiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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