| Katelyn Nelson, FNP | |
|
206 S Washington St, Mc Leansboro, IL 62859-6708 | |
| (618) 643-2835 | |
| (618) 643-2891 |
| Full Name | Katelyn Nelson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 206 S Washington St, Mc Leansboro, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669154670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 041.436332 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209.028163 (Illinois) | Primary |
| Entity Name | Physician Services Corporation Of Southern Illinois Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831101807 PECOS PAC ID: 9234022567 Enrollment ID: O20040304000583 |
| Entity Name | Ferrell Hospital Community Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194713404 PECOS PAC ID: 1355389453 Enrollment ID: O20090630000256 |
| Mailing Address | Practice Location Address |
|---|---|
| Katelyn Nelson, FNP 206 S Washington St, Mc Leansboro, IL 62859-6708 Ph: (618) 643-2835 | Katelyn Nelson, FNP 206 S Washington St, Mc Leansboro, IL 62859-6708 Ph: (618) 643-2835 |
Jaydra Woods, APN,FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Po Box 429, Mc Leansboro, IL 62859 Phone: 618-643-2361 Fax: 618-643-2502 | |
Morgan Warren, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 611 S Marshall Ave, Mc Leansboro, IL 62859 Phone: 618-643-2361 | |
Mr. Wesley J Henson, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 611 S Marshall Ave, Mc Leansboro, IL 62859 Phone: 618-252-8625 Fax: 618-252-2540 | |
Melyssa Gayle Wiggins, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 208 S Washington St, Mc Leansboro, IL 62859 Phone: 618-643-2835 Fax: 618-643-2891 | |
Mike S Davenport, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 206 S Washington St, Mc Leansboro, IL 62859 Phone: 618-643-2835 Fax: 618-643-2891 | |
Mrs. Rene L Bernard, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 E Market St, Mc Leansboro, IL 62859 Phone: 618-643-3051 Fax: 618-643-3164 | |
Heather Johnson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 611 S Marshall Ave, Mc Leansboro, IL 62859 Phone: 618-643-2361 |