Ms Sally Ann Williams Hickman, RN, CS-FNP | |
1100 N Kentucky Ave, West Plains, MO 65775-2029 | |
(417) 256-9111 | |
(417) 255-9732 |
Full Name | Ms Sally Ann Williams Hickman |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 1100 N Kentucky Ave, West Plains, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851345144 | NPI | - | NPPES |
599022307 | Medicaid | MO | |
427376405 | Medicaid | MO | |
599022308 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 2004029904 (Missouri) | Primary |
Entity Name | Phelps County Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891766051 PECOS PAC ID: 2860391158 Enrollment ID: O20040106000405 |
Mailing Address | Practice Location Address |
---|---|
Ms Sally Ann Williams Hickman, RN, CS-FNP 1100 Kentucky Aenue, West Plains, MO 65775 Ph: (417) 256-9111 | Ms Sally Ann Williams Hickman, RN, CS-FNP 1100 N Kentucky Ave, West Plains, MO 65775-2029 Ph: (417) 256-9111 |
Mr. Larry Ray Kennon, APRN, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1137 Independence Dr, West Plains, MO 65775 Phone: 417-255-8464 | |
Jana Ethel Reid, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1211 Porter Wagoner Blvd, West Plains, MO 65775 Phone: 417-349-2334 | |
Susan Kenslow, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-257-9111 | |
Victoria Hadley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11592 Private Road 6830, West Plains, MO 65775 Phone: 417-372-1061 | |
James Streff, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1115 Alaska St, Suite 114, West Plains, MO 65775 Phone: 417-257-5950 | |
Kristen Rene' White, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1137 Independence Dr, West Plains, MO 65775 Phone: 417-255-8464 | |
Shawna Renee Middleton, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3000 Independence Sq, West Plains, MO 65775 Phone: 471-256-1761 Fax: 417-256-1763 |