Mrs. Shelia A Sancillo Tice, CFNP
Mrs. Shelia A Sancillo Tice, CFNP is a Nurse Practitioner in New Albany, Mississippi. Qualified in 2011, 15 years ago. Practices with Friendship Medical Clinic LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Mississippi.
- Years since qualifying
- 15
- Licensed in
- MS
- In the registry since
- 2011
Practice location Address checks out
456 W Bankhead StNew Albany, MS 38652-3319
Phone: (662) 534-8780
Fax: (662) 314-8577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence R857901 (MS) |
|---|
Record details
| NPI number | 1255617973 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CFNP |
| Sole proprietor | Yes |
| NPI enumerated | October 26, 2011 |
| Last updated in NPPES | December 2, 2016 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2011 (15 years in practice) |
| Group practice | Friendship Medical Clinic Llc — 9 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |