| Shenika Jackson-king, APRN | |
|
300 S School St, Dermott, AR 71638-2127 | |
| (870) 538-5296 | |
| (870) 538-3701 |
| Full Name | Shenika Jackson-king |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 300 S School St, Dermott, Arkansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669886552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A004123 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mainline Health Systems, Inc | 5193785590 | 47 |
| Mainline Health Systems, Inc | 5193785590 | 47 |
| Entity Name | Mainline Health Systems, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922727726 PECOS PAC ID: 5193785590 Enrollment ID: O20041011000567 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190913002365 |
| Mailing Address | Practice Location Address |
|---|---|
| Shenika Jackson-king, APRN 106 E Speedway St, Dermott, AR 71638-2317 Ph: (870) 538-5414 | Shenika Jackson-king, APRN 300 S School St, Dermott, AR 71638-2127 Ph: (870) 538-5296 |
Rebekah Ayecock, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 South School St, Dermott, AR 71638 Phone: 870-538-3355 Fax: 855-811-4203 | |
Tiffany Wargo, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 S School St, Dermott, AR 71638 Phone: 870-538-3355 | |
Brenda Fowler, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 604 S Pecan St, Dermott, AR 71638 Phone: 870-538-5296 Fax: 870-538-3701 | |
Kimberly Weeks, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 S School St, Dermott, AR 71638 Phone: 870-538-5296 | |
Courtney Shay Johnson, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 S School St, Dermott, AR 71638 Phone: 870-538-5296 Fax: 870-538-3701 | |
Mrs. Dana Shea Phillips, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 S School St, Dermott, AR 71638 Phone: 870-538-5296 Fax: 870-538-3701 |