Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Susan Michelle Brock, NP

Individual provider Adult Health Nurse Practitioner · NPI 1730500430

Miss. Susan Michelle Brock, NP is an Adult Health Nurse Practitioner in Independence, Ohio. Works from 2 locations. Licensed in California, Kentucky and Tennessee.

Licensed in
CA, KY, TN
In the registry since
2013
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Partly verified

Some contact details are missing from the federal record.

Lifeline Community Healthcare 6150 Oak Tree Blvd Ste 200
Independence, OH 44131
Phone: (800) 897-9177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 611 Gateway Blvd Ste 120, South San Francisco, CA 94080-7066 — (650) 761-4056

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 22668 (TN)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 95019712 (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence 3011567 (KY)

Record details

NPI number1730500430
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedDecember 23, 2013
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026

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