Ashley Nicole Mitchell, APRN, FNP-BC | |
2601 W Main St, Carbondale, IL 62901-1031 | |
(618) 549-5361 | |
(618) 351-4878 |
Full Name | Ashley Nicole Mitchell |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 2601 W Main St, Carbondale, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003598269 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209027967 (Illinois) | Primary |
Entity Name | Southern Illinois Medical Services Nfp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
Mailing Address | Practice Location Address |
---|---|
Ashley Nicole Mitchell, APRN, FNP-BC Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Ashley Nicole Mitchell, APRN, FNP-BC 2601 W Main St, Carbondale, IL 62901-1031 Ph: (618) 549-5361 |
Miss Whitney Mcguire, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 103, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-6522 | |
Natasha Charlyn Shafer, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1340 Cedar Ct Ste 202, Carbondale, IL 62901 Phone: 618-529-7821 | |
Mrs. Jennifer Sue Campos, FNP-BC, CCRN, CMC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 | |
Lindsay B Casolari, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Andrea Williams, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Monica L Nagele, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1175 Cedar Ct, Carbondale, IL 62901 Phone: 618-490-1045 |