Mrs Heather Diane Alexander, FNP-BC | |
2700 W Deyoung St Ste F, Marion, IL 62959-4943 | |
(618) 998-7000 | |
Not Available |
Full Name | Mrs Heather Diane Alexander |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 2700 W Deyoung St Ste F, Marion, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992439293 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209.025271 (Illinois) | Secondary |
363L00000X | Nurse Practitioner | 209.025271 (Illinois) | Primary |
Entity Name | Deaconess Illinois Specialty Clinic, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972210235 PECOS PAC ID: 9830562016 Enrollment ID: O20230321001688 |
Mailing Address | Practice Location Address |
---|---|
Mrs Heather Diane Alexander, FNP-BC 2142 Ava Rd, Murphysboro, IL 62966-4126 Ph: (618) 924-1324 | Mrs Heather Diane Alexander, FNP-BC 2700 W Deyoung St Ste F, Marion, IL 62959-4943 Ph: (618) 998-7000 |
Era Louise Mattingly, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11522 White Pine Ave, Marion, IL 62959 Phone: 618-889-4834 | |
Jessie Nicole Fox, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2808 Outer Dr, Marion, IL 62959 Phone: 618-993-3817 | |
Ms. Peggy Boyd, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3106 Outer Dr, Marion, IL 62959 Phone: 618-997-4332 Fax: 618-997-6205 | |
Donna R Walters, CNM Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3408 Office Park Dr, Marion, IL 62959 Phone: 618-997-5266 Fax: 618-997-5285 | |
Mrs. Holly Ann Gates, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3111 Williamson County Pkwy, Marion, IL 62959 Phone: 618-519-9200 Fax: 618-985-9155 | |
Rhonda Raye Heatherly, APN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 S Vicksburg St, Marion, IL 62959 Phone: 618-998-1900 | |
Michelle Wharton, APN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3412 Office Park Dr, Marion, IL 62959 Phone: 618-993-0404 |