| Deana James, NP | |
|
163 Medical Dr, Hannibal, MO 63401-6884 | |
| (573) 719-1818 | |
| Not Available |
| Full Name | Deana James |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 163 Medical Dr, Hannibal, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487343810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2023013504 (Missouri) | Primary |
| Entity Name | Riverside Dermatology & Spa Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699262329 PECOS PAC ID: 7214282227 Enrollment ID: O20180615000066 |
| Entity Name | Integrated Dermatology Of Northeast Missouri Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992518658 PECOS PAC ID: 5698293108 Enrollment ID: O20250519002195 |
| Mailing Address | Practice Location Address |
|---|---|
| Deana James, NP 163 Medical Dr, Hannibal, MO 63401-6884 Ph: (573) 719-1818 | Deana James, NP 163 Medical Dr, Hannibal, MO 63401-6884 Ph: (573) 719-1818 |
Elizabeth Anne Radcliff, MSN, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6000 Hospital Dr, Hannibal, MO 63401 Phone: 573-248-5211 Fax: 573-248-5210 | |
Mrs. Terry Shannon Thomas, APRN-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Medical Dr, Hannibal, MO 63401 Phone: 573-221-5250 Fax: 573-231-3751 | |
Melissa L Reynolds, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6500 Hospital Dr, Hannibal, MO 63401 Phone: 573-629-3440 Fax: 573-629-3423 | |
Nicole Suzanne Bradshaw, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6500 Hospital Dr, Hannibal, MO 63401 Phone: 573-629-3480 Fax: 573-629-3987 | |
Lynn M Shima, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6500 Hospital Dr, Hannibal, MO 63401 Phone: 573-629-3300 Fax: 573-629-3314 | |
Ms. Kim M Peters, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Dr, Hannibal, MO 63401 Phone: 573-231-3116 Fax: 573-231-3714 | |
Diane Berry Slough, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6500 Hospital Dr, Hannibal, MO 63401 Phone: 573-629-3440 Fax: 573-629-3416 |