| Susan J Mack, RN, FNP | |
|
929 Stacy Burk Drive, Flora, IL 62839 | |
| (618) 662-2191 | |
| Not Available |
| Full Name | Susan J Mack |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 929 Stacy Burk Drive, Flora, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396955316 | NPI | - | NPPES |
| 420123507 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 070430 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209007907 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Susan J Mack, RN, FNP 608 N Main St, Flora, IL 62839-1406 Ph: (618) 662-4246 | Susan J Mack, RN, FNP 929 Stacy Burk Drive, Flora, IL 62839 Ph: (618) 662-2191 |
Catherine Nicole Deters, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 911 Stacey Burk Dr, Flora, IL 62839 Phone: 618-662-2131 Fax: 618-662-3077 | |
Kara Dobyns, PMHNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 911 Stacey Burk Dr, Flora, IL 62839 Phone: 618-662-2131 | |
Emily Jill Arndt, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 165 Kinnaman Dr, Flora, IL 62839 Phone: 618-662-8386 | |
Marlissa Boyles, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 E North Ave, Flora, IL 62839 Phone: 618-662-8386 Fax: 618-662-4338 | |
Mrs. Angela Casolari, APN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 929 Stacey Burk Dr, Flora, IL 62839 Phone: 618-662-2191 Fax: 618-662-8090 | |
Heather Leigh Irvin, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 929 Stacey Burk Dr, Flora, IL 62839 Phone: 618-662-2131 |