Provider Demographics
NPI:1427102037
Name:BEAN, SUSAN SCOTT (RN)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:SCOTT
Last Name:BEAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 MOUND ST
Mailing Address - Street 2:
Mailing Address - City:JONESVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71343-3021
Mailing Address - Country:US
Mailing Address - Phone:318-339-7076
Mailing Address - Fax:
Practice Address - Street 1:2801 FOURTH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:JONESVILLE
Practice Address - State:LA
Practice Address - Zip Code:71343-2004
Practice Address - Country:US
Practice Address - Phone:318-339-8553
Practice Address - Fax:318-339-8554
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN033875163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health