Individual provider · Type 1 NPI

Nina Nicole Mendoza Suan, MD

Student in an Organized Health Care Education/Training Program · Jackson, MI

NPI number 1902748775 Active

Practice location

205 N East Ave
Jackson, MI 49201-1753

Call (517) 205-4800 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1902748775

Nina Nicole Mendoza Suan, MD's National Provider Identifier is 1902748775, issued on Apr 8, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jackson, MI. The record was last updated on Apr 8, 2026.