Individual
MRS. CHERYL ANN VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1497 NASHVILLE ST, RUSSELLVILLE, KY 42276-8850
(270) 726-1266
Mailing address
180 ROSELLA HOLMES RD, RUSSELLVILLE, KY 42276-9437
(270) 726-0876
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3011716
KY
Other
Enumeration date
09/15/2017
Last updated
09/15/2017
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