Healthcare Provider Details
I. General information
NPI: 1871554196
Provider Name (Legal Business Name): FRANCES D ATKINS PHD APRN BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/28/2006
Last Update Date: 01/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14 E 18TH ST HEALTHY LIVING INSTITUTE STE 104
HIGGINSVILLE MO
64037-1358
US
IV. Provider business mailing address
917 WALNUT ST
HIGGINSVILLE MO
64037-1137
US
V. Phone/Fax
- Phone: 660-584-2021
- Fax:
- Phone: 660-584-2021
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WP0807X |
| Taxonomy | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
| License Number | RN043218 |
| License Number State | MO |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WP0809X |
| Taxonomy | Adult Psychiatric/Mental Health Registered Nurse |
| License Number | RN043218 |
| License Number State | MO |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | 2012042577 |
| License Number State | MO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: