Individual
NICOLE HUCKABEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1702 N KINGSHIGHWAY ST, CAPE GIRARDEAU, MO 63701-2122
(573) 339-0483
(573) 339-1876
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-3000
(573) 331-5073
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
137973
MO
Other
Enumeration date
01/31/2006
Last updated
03/09/2021
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