| Jickie Parker, ARNP | |
|
444 Four States Dr., Ste 1, Galena, KS 66739-4325 | |
| (620) 783-4441 | |
| (620) 783-4090 |
| Full Name | Jickie Parker |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 444 Four States Dr., Galena, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386016954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2014042976 (Missouri) | Secondary |
| 363L00000X | Nurse Practitioner | TMP-999999 (Kansas) | Primary |
| Entity Name | Mercy Clinic Joplin Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043547474 PECOS PAC ID: 0547300196 Enrollment ID: O20091214000066 |
| Mailing Address | Practice Location Address |
|---|---|
| Jickie Parker, ARNP Po Box 2546, Joplin, MO 64803-2546 Ph: (620) 783-4441 | Jickie Parker, ARNP 444 Four States Dr., Ste 1, Galena, KS 66739-4325 Ph: (620) 783-4441 |
Stephanie Marie Rapp, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 444 Four States Dr Ste 1, Galena, KS 66739 Phone: 877-783-4441 | |
Kathryn L Charlton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 444 Four States Dr Ste 1, Galena, KS 66739 Phone: 620-783-4441 | |
Echo Mills, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 444 Four States Dr., Ste 1, Galena, KS 66739 Phone: 620-783-4441 Fax: 620-783-4090 | |
Sean Michael Haase, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 444 Four States Dr Ste 1, Galena, KS 66739 Phone: 877-783-4441 | |
Dottie Rene Bringle, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 198 Four States Dr, Galena, KS 66739 Phone: 620-783-2356 Fax: 620-783-2395 | |
Mrs. Linda L Vonwedell, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 444 Four States Dr, Ste 1, Galena, KS 66379 Phone: 620-783-4441 Fax: 620-783-4090 |