| Debra K Provoast, NP | |
|
3190 Northridge Drive, Hale, MI 48739-9276 | |
| (989) 728-6000 | |
| (989) 728-6003 |
| Full Name | Debra K Provoast |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 3190 Northridge Drive, Hale, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033107271 | NPI | - | NPPES |
| DP173663 | Other | MI | LICENSE |
| 105235126 | Medicaid | MI | |
| 500C510200 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704173663 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Debra K Provoast, NP Po Box 279, Hale, MI 48739-0279 Ph: (989) 728-6000 | Debra K Provoast, NP 3190 Northridge Drive, Hale, MI 48739-9276 Ph: (989) 728-6000 |
Mrs. Jessica Lynn Wilson, MSN FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 436 W Main St, Hale, MI 48739 Phone: 989-892-7722 | |
Jalyn Jammer, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 436 W Main St, Hale, MI 48739 Phone: 989-524-3758 | |
Lydia Jordan Leonard, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3190 Northridge Rd, Hale, MI 48739 Phone: 989-728-6000 Fax: 989-728-6003 | |
Beth A Weaver, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3190 Northridge Drive, Hale, MI 48739 Phone: 989-728-6000 Fax: 989-728-6003 | |
Lindsey Grace, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3190 Northridge Rd, Hale, MI 48739 Phone: 989-728-6000 Fax: 989-728-6003 | |
Melissa Marie Nixon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3190 Northridge Rd, Hale, MI 48739 Phone: 989-728-6000 Fax: 989-728-6003 |