| Tamara Lynn Hickman, CPNP | |
|
Northwest Michigan Community Health Agency, 220 W. Garfield Street, Charlevoix, MI 49720 | |
| (231) 547-6523 | |
| (231) 547-6238 |
| Full Name | Tamara Lynn Hickman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | Northwest Michigan Community Health Agency, Charlevoix, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699989665 | NPI | - | NPPES |
| TH113645 | Other | MI | BCBSM LICENSE NUMBER |
| 4868054 | Medicaid | MI | |
| 50-0-A5-1010-0 | Other | MI | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 4704113645 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tamara Lynn Hickman, CPNP 8275 W State St, Central Lake, MI 49622-9701 Ph: (231) 544-6960 | Tamara Lynn Hickman, CPNP Northwest Michigan Community Health Agency, 220 W. Garfield Street, Charlevoix, MI 49720 Ph: (231) 547-6523 |
Mrs. Carrie Lee Miller, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 220 W Garfield Ave, Charlevoix, MI 49720 Phone: 989-732-6890 | |
Mrs. Vicki Rupert, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14651 W Upright St, Charlevoix, MI 49720 Phone: 231-547-4477 | |
Jennifer Armstrong, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14700 Lake Shore Dr, Charlevoix, MI 49720 Phone: 231-547-4024 | |
Kelsey Arnold, DNP, APRN, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14719 W Upright St, Charlevoix, MI 49720 Phone: 231-547-3840 | |
Cynthia Butcher, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 W Garfield Ave, Charlevoix, MI 49720 Phone: 231-547-6523 Fax: 231-547-6238 | |
Jordan Wyeth, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 220 W Garfield Ave, Charlevoix, MI 49720 Phone: 231-547-6523 | |
Susan Mary Killam, RN,MSN,NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Northwest Michigan Community Health Agency, 220 W. Garfield Street, Charlevoix, MI 49720 Phone: 231-547-6523 Fax: 231-547-6238 |