MRS. JUSTINE LYN BEAMAN FNP-BC
NPI 1780227124
Nurse Practitioner - Family in Rockford, IL

Active since October 17, 2019
2222 E STATE ST STE 209, ROCKFORD, IL 61104(815) 988-8500(815) 977-5956 Get Directions Write a Review

NPPES record last updated: November 18, 2019. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Nov 18, 2019, Oct 17, 2019 (2 updates tracked since 2019).

About Mrs. Justine Lyn Beaman Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JUSTINE LYN BEAMAN FNP-BC (NPI 1780227124) is an individual family provider in Rockford, Illinois, licensed in Illinois (209.020473) and active in the NPI registry since October 2019. She maintains a secondary practice location in Rockford.

NPPES Registry Identity

NPI1780227124
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JUSTINE LYN BEAMANCredential: FNP-BC
Location Address2222 E STATE ST STE 209Rockford, IL 61104-1572
Mailing Address2222 E State St Ste 209Rockford, IL 61104-1572 · (815) 988-8500 · Fax (815) 977-5956
Fax(815) 977-5956
Sole ProprietorYes
Enumeration DateOctober 17, 2019
Last NPPES UpdateNovember 18, 20192 updates tracked since enumeration
NPI 1780227124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209.020473
Also ListedRegistered NurseTaxonomy 163W00000X · License 041390906 (IL)
2222 E STATE ST STE 209, Rockford, IL 61104

Secondary Practice Location 1

Location 13401 N Perryville RdRockford, IL 61114-8011 · Phone (815) 971-8000

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2222 E STATE ST STE 209
ROCKFORD, IL 61104
Nurse Practitioner (Family)
2222 E STATE ST STE 209
ROCKFORD, IL 61104
Nurse Practitioner (Family)
2222 E STATE ST STE 209
ROCKFORD, IL 61104
Nurse Practitioner (Family)
2222 E STATE ST STE 209
ROCKFORD, IL 61104
Nurse Practitioner (Family)
2222 E STATE ST STE 209
ROCKFORD, IL 61104
Nurse Practitioner (Family)
2222 E STATE ST STE 209
ROCKFORD, IL 61104
Nurse Practitioner (Family)
2222 E STATE ST STE 209
ROCKFORD, IL 61104
Nurse Practitioner (Psychiatric/Mental Health)
2222 E STATE ST STE 209
ROCKFORD, IL 61104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justine Beaman's NPI number?

The NPI number for Justine Beaman is 1780227124. It was assigned to this individual provider in the NPPES registry on October 17, 2019.

Where is Justine Beaman located?

Justine Beaman practices at 2222 E State St Ste 209, Rockford, IL 61104. The listed phone number is (815) 988-8500.

What is Justine Beaman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Justine Beaman was last updated on November 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.