MRS. SHONDELL VANESSA HICKSON (NPI# 1366767550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366767550 |
| Entity Type | Individual |
| Full Name | MRS. SHONDELL VANESSA HICKSON |
| Credential | APN |
| Practice Address |
230 Dover Rd Clarksville TN 37042-4183 |
| Mailing Address |
230 Dover Road Clarksville TN 37042 |
| Practice Telephone | 9319205000 |
| Practice Fax Number | 9319205011 |
| Mailing Telephone | 9319205000 |
| Mailing Fax Number | 9319205011 |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2012-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
14841 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
14841 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
230 DOVER RD |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37042-4183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104008747 | Matthew Walker Comprehensive Health Center, Inc | Clinic/Center | 230 Dover Rd, Clarksville, TN 37042-4183 | 2007-12-05 |
| 1982194007 | Zoe F Lowery | Nurse Practitioner | 230 Dover Rd, Clarksville, TN 37042-4183 | 2018-05-14 |
| 1407393408 | Lindsey Carlson | Nurse Practitioner | 230 Dover Rd, Clarksville, TN 37042-4183 | 2017-01-27 |
| 1255764155 | Tiffany D Yoder | Nurse Practitioner | 230 Dover Rd, Clarksville, TN 37042-4183 | 2013-08-14 |
| 1992068621 | Kristy Jo Stanislav | Dentist | 230 Dover Rd, Clarksville, TN 37042-4183 | 2012-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275186603 | Elizabeth Louise Eckart | Physical Therapist | 305 Rue Le Mans Dr., Clarksville, TN 37042 | 2019-07-24 |
| 1740844802 | Lana Sperry | Speech-Language Pathologist | 1255 Northfield Drive, Clarksville, TN 37042 | 2019-04-24 |
| 1497263941 | Cumberland Surgical Arts and Associates, Pllc | Oral & Maxillofacial Surgery | 1275 Parkway Place, Clarksville, TN 37042 | 2018-01-18 |
| 1336590058 | Bobby Bonner Jr. | Case Manager/Care Coordinator | 1697putnum Drive, Clarksville, TN 37042 | 2016-06-23 |
| 1184078040 | Sheena Williams | Counselor | 901 Martin St., Clarksville, TN 37042 | 2016-04-18 |
| 1568847069 | Sara Hyun Seung Oh | Dentist | 1692 Fort Campbell Blvd, Clarksville, TN 37042 | 2015-07-25 |
| 1346621323 | Rocky Mountain Holdings, LLC | Ambulance | 248 Outlaw Field Rd, Clarksville, TN 37042 | 2015-06-15 |
| 1528448974 | Tennessee State Veterans Home Board | Skilled Nursing Facility | 250 Arrowood Drive, Clarksville, TN 37042 | 2015-06-01 |
| 1851709331 | Brent Michael Hazlewood | Dentist | 466 Tiny Town Rd, Ste A, Clarksville, TN 37042 | 2014-07-28 |
| 1619304318 | Regina G Goldwire | Nurse Practitioner | 351 Dover Road, North Clarksville Medical Center, Clarksville, TN 37042 | 2013-09-26 |
| Find all providers in zip 37042 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639719867 | Linda S, Dial | Clinical Nurse Specialist | 1301 Medical Center Drive Tvc, Nashville, TN 37232-0001 | 2020-01-15 |
| 1053897728 | Teresa Duncan Webb | Clinical Nurse Specialist | 3045 Boogertown Rd, Sevierville, TN 37876-8860 | 2018-07-16 |
| 1356896377 | Shawn Green | Clinical Nurse Specialist | 5932 Woodlands Ave, Nashville, TN 37211-7536 | 2016-08-19 |
| 1780095109 | Mark Vann Fnp | Clinical Nurse Specialist | 115 N Woodland St, Manchester, TN 37355-1573 | 2014-05-20 |
| 1487083440 | Robin A Chappell | Clinical Nurse Specialist | 143 Old Hickory Blvd, South Fulton, TN 38257-2607 | 2013-11-10 |
| 1720325830 | Luisa Fernanda Leal | Clinical Nurse Specialist | 390 Harding Place Suite 102, Nashville, TN 37211-4770 | 2013-01-09 |
| 1144559899 | Nila Jean Lawson | Clinical Nurse Specialist | 200 Hudson, Memphis, TN 38152-0001 | 2009-12-09 |
| 1245394428 | Donna P. Sinclair | Clinical Nurse Specialist | 115 Clifty Village Ln, Paris, TN 38242-9177 | 2006-12-21 |
| 1013543354 | Tracy Maurice Abney | Clinical Nurse Specialist | 6236 Stage Rd, Bartlett, TN 38134-3726 | 2020-03-18 |
| 1750835724 | Mittal Kidney and Dialysis | Clinical Nurse Specialist | 300 S Walnut Bend Rd, Ste 12, Cordova, TN 38018-7293 | 2016-08-08 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSVILLE |
| Zip Code | 37042 |
Please comment or provide details below to improve the information on MRS. SHONDELL VANESSA HICKSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.