Destiney Khristine Smith, APRN | |
639 York St Rm 212, Quincy, IL 62301-3919 | |
(217) 222-6277 | |
Not Available |
Full Name | Destiney Khristine Smith |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 639 York St Rm 212, Quincy, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659064483 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209.027547 (Illinois) | Primary |
Entity Name | Preferred Family Healthcare, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114099421 PECOS PAC ID: 0244256246 Enrollment ID: O20151124002928 |
Mailing Address | Practice Location Address |
---|---|
Destiney Khristine Smith, APRN 1601 Old South River Rd, Saint Charles, MO 63303-4120 Ph: (636) 224-1210 | Destiney Khristine Smith, APRN 639 York St Rm 212, Quincy, IL 62301-3919 Ph: (217) 222-6277 |
Glenda Brown, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 | |
Mrs. Reghnald Ann Westhoff, MSN, RN APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 915 Vermont St, Quincy, IL 62301 Phone: 217-222-8254 Fax: 217-222-4512 | |
Rick Knochel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-1200 | |
Rebecca Reed, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4800 Maine St, Quincy, IL 62305 Phone: 217-224-6423 Fax: 217-214-5848 | |
Nicole Suzanne Murphy, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 326 N 24th St, Quincy, IL 62301 Phone: 217-214-6300 | |
Erin Bowers, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 Fax: 217-223-6894 | |
Brenda Colleen Blickhan, AGNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-1200 |