Provider Demographics
NPI:1609333806
Name:ONCKEN, VICKY KAY (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:VICKY
Middle Name:KAY
Last Name:ONCKEN
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1139 JD LN
Mailing Address - Street 2:
Mailing Address - City:BAUXITE
Mailing Address - State:AR
Mailing Address - Zip Code:72011-9440
Mailing Address - Country:US
Mailing Address - Phone:501-463-1006
Mailing Address - Fax:
Practice Address - Street 1:519 FILES RD
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-7264
Practice Address - Country:US
Practice Address - Phone:501-625-7246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-23
Last Update Date:2019-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA006018363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner