Individual provider · Type 1 NPI
Alicia Christine Carmack, FNP
Family Nurse Practitioner · St. Louis, MO
NPI number
1639560949
Active
Practice location
4921 Parkview Pl, Div Im Medical Oncology, Ste 7A, 7B, 7C
St. Louis, MO 63110-1032
Fax (314) 362-3192
Mailing address
PO Box 7412011
Chicago, IL 60674-2011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2015003179 (MO) |
Family Nurse Practitioner: Definition to come...
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About NPI 1639560949
Alicia Christine Carmack, FNP's National Provider Identifier is 1639560949, issued on Feb 9, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Louis, MO. The record was last updated on Apr 15, 2025.