Healthcare Provider Details

I. General information

NPI: 1437083466
Provider Name (Legal Business Name): NONNA CATHERINE BICKETT PLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1230 N DUQUESNE RD
JOPLIN MO
64801-1509
US

IV. Provider business mailing address

1230 N DUQUESNE RD
JOPLIN MO
64801-1509
US

V. Phone/Fax

Practice location:
  • Phone: 417-782-1443
  • Fax: 417-782-3240
Mailing address:
  • Phone: 417-782-1443
  • Fax: 417-782-3240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number2026026596
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: