| Maranda Hickey, APRN | |
|
1100 E Poplar St Ste A, Clarksville, AR 72830 | |
| (479) 754-5337 | |
| Not Available |
| Full Name | Maranda Hickey |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1100 E Poplar St Ste A, Clarksville, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255813879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A005827 (Arkansas) | Primary |
| Entity Name | Johnson Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174583603 PECOS PAC ID: 1658360284 Enrollment ID: O20050307000130 |
| Mailing Address | Practice Location Address |
|---|---|
| Maranda Hickey, APRN 1100 E Poplar St Ste A, Clarksville, AR 72830-4401 Ph: (479) 754-5337 | Maranda Hickey, APRN 1100 E Poplar St Ste A, Clarksville, AR 72830 Ph: (479) 754-5337 |
Ashley N Gattis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 708 W Main St, Clarksville, AR 72830 Phone: 479-668-3282 Fax: 479-668-3284 | |
Garrett Kyle, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 409 S Rogers St, Clarksville, AR 72830 Phone: 479-491-4141 Fax: 479-491-4143 | |
Susan Gateley, A.P.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 W Mckennon St, Clarksville, AR 72830 Phone: 479-754-8384 Fax: 479-754-7141 | |
Catherine Stephanie Miranda, CNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 N Mcconnell St, Clarksville, AR 72830 Phone: 479-440-8197 Fax: 479-440-8198 | |
Marcella Anne Handley, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2428 Wire Rd, Clarksville, AR 72830 Phone: 479-754-4808 | |
Jess E Jordan, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 W Mckennon St, Clarksville, AR 72830 Phone: 479-754-8384 Fax: 479-754-7141 |