Individual provider · Type 1 NPI

Jessica Nichole Mickels, RNFA

Adult Health Nurse Practitioner · Hannibal, MO

NPI number 1164066023 Active

Practice location

6000 Hospital Dr
Hannibal, MO 63401-6887

Fax (573) 248-5196

Mailing address

PO Box 551
Hannibal, MO 63401-0551

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X2023040437 (MO)
Registered Nurse First Assistant 163WR0006X2013025149 (MO)
Gerontology Nurse Practitioner 363LG0600X2023040437 (MO)
Adult Health Nurse Practitioner Primary 363LA2200X2023040437 (MO)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1164066023

Jessica Nichole Mickels, RNFA's National Provider Identifier is 1164066023, issued on Nov 4, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Hannibal, MO. The record was last updated on Nov 6, 2023.