Tammy R Nichols, NURSE PRACTITIONER | |
2179 State Highway 73, Macks Creek, MO 65786-8228 | |
(660) 428-5020 | |
Not Available |
Full Name | Tammy R Nichols |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2179 State Highway 73, Macks Creek, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730900663 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WG0000X | Registered Nurse - General Practice | 2024041853 (Missouri) | Secondary |
363LF0000X | Nurse Practitioner - Family | 2024041853 (Missouri) | Primary |
Mailing Address | Practice Location Address |
---|---|
Tammy R Nichols, NURSE PRACTITIONER 2179 State Highway 73, Macks Creek, MO 65786-8228 Ph: (660) 428-5020 | Tammy R Nichols, NURSE PRACTITIONER 2179 State Highway 73, Macks Creek, MO 65786-8228 Ph: (660) 428-5020 |
Deborah Ann King, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14298 W Us Highway 54, Macks Creek, MO 65786 Phone: 573-363-5304 Fax: 573-363-5512 |