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JESSICA NICHOLE MICKELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RNFA

Contact information

Practice address
6000 HOSPITAL DR, HANNIBAL, MO 63401-6887
(573) 248-5115
(573) 248-5196
Mailing address
PO BOX 551, HANNIBAL, MO 63401-0551
(573) 248-5115
(573) 248-5196

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
2013025149
MO
363LA2100X
Acute Care Nurse Practitioner
2023040437
MO
363LA2200X
Adult Health Nurse Practitioner
Primary
2023040437
MO
363LG0600X
Gerontology Nurse Practitioner
2023040437
MO

Other

Enumeration date
11/04/2019
Last updated
11/06/2023
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