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Miss Susan Michelle Brock, NP
Adult Health Nurse Practitioner in Independence, Ohio
NPI 1730500430

Susan Michelle Brock is an Adult Health Nurse Practitioner based in Clarksville, OH and is specialized in Adult Health. Susan Michelle Brock practices in Independence, OH and has the professional credentials of NP. The NPI Number for Susan Michelle Brock is 1730500430 and holds a License No. 3011567 (Ohio).

The current practice location address for Susan Michelle Brock is Lifeline Community Healthcare, Independence, OH and can be reached out via phone at 800-897-9177.

Location: Lifeline Community Healthcare, Independence, OH, 37043-5296
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730500430
Provider Name
Susan Michelle Brock
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
Lifeline Community Healthcare, Independence, OH, 37043-5296
Phone Number
800-897-9177
Fax Number
Provider Enumeration Date
12/23/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000855421 01 IN ANTHEM
201209630 05 IN
0099280 05 OH
institution
Provider Business Practice Location Address Details
Address
Lifeline Community Healthcare
City
Independence
State
Ohio
Zip
44131
Phone Number
800-897-9177
Fax Number
person
Provider Business Mailing Address Details
Address
Lifeline Community Healthcare
City
Independence
State
Ohio
Zip
44131
Phone Number
800-897-9177
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
22668 (Tennessee)
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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
3011567 (Kentucky)
Definition
Definition to come...
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