| Amanda Jackson, CPNP | |
|
940 W Mount Vernon St Ste 220, Nixa, MO 65714-9613 | |
| (417) 724-5437 | |
| Not Available |
| Full Name | Amanda Jackson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 940 W Mount Vernon St Ste 220, Nixa, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205460045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 2011022742 (Missouri) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 2020008008 (Missouri) | Primary |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Jackson, CPNP 940 W Mount Vernon St Ste 220, Nixa, MO 65714-9613 Ph: (417) 724-5437 | Amanda Jackson, CPNP 940 W Mount Vernon St Ste 220, Nixa, MO 65714-9613 Ph: (417) 724-5437 |
Kelsi L Goans, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 655 N Montego St, Nixa, MO 65714 Phone: 660-227-1007 | |
Deborah Ann Upton, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 N Old Wilderness Rd, Nixa, MO 65714 Phone: 417-269-2227 Fax: 417-269-2235 | |
Carlee Rozell, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2522 Equine Valley Rd, Nixa, MO 65714 Phone: 417-207-2004 | |
Holly K Letterman-hitt, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 N Old Wilderness Rd, Nixa, MO 65714 Phone: 417-269-2227 Fax: 417-269-2235 | |
Patricia Lewien, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8313 Rolling Hills Dr, Nixa, MO 65714 Phone: 417-839-2208 | |
Aubrey Lynn Curbow, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 501 North Wilderness Road, Nixa, MO 65714 Phone: 417-269-2227 | |
Lacey Jean Hall, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 N Old Wilderness Rd, Nixa, MO 65714 Phone: 417-269-2227 Fax: 417-269-2235 |