person
Melinda Sue Hickey, MSN,AGNP-C,CWON
Primary Care Nurse Practitioner in Peoria, Illinois
NPI 1396453346

Melinda Sue Hickey is a Primary Care Nurse Practitioner based in Banner, IL and is specialized in Primary Care. Melinda Sue Hickey practices in Peoria, IL and has the professional credentials of MSN,AGNP-C,CWON. The NPI Number for Melinda Sue Hickey is 1396453346 and holds a License No. AG09220121 (Illinois).

The current practice location address for Melinda Sue Hickey is 221 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-678-2218. You can also correspond with Melinda Sue Hickey through the mailing address at 355 S BRIDGE ST, BANNER, IL - 61520-9307 (mailing address contact number: 309-650-0615).

Location: 221 Ne Glen Oak Ave, Peoria, IL, 61520-9307
person
Provider Profile Details
NPI Number
1396453346
Provider Name
Melinda Sue Hickey
Credential
MSN,AGNP-C,CWON
Provider Entity Type
Individual
Gender
Female
Address
221 Ne Glen Oak Ave, Peoria, IL, 61520-9307
Phone Number
309-678-2218
Fax Number
Provider Enumeration Date
11/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
221 Ne Glen Oak Ave
City
State
Zip
61636-0001
Phone Number
309-678-2218
Fax Number
person
Provider Business Mailing Address Details
Address
221 Ne Glen Oak Ave
City
State
Zip
61636-0001
Phone Number
309-678-2218
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
AG09220121 (Illinois)
Definition
Definition to come...
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