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 1:107 PROGRESS WAY STE 505
Practice Address - Street 2:
Practice Address - City:BRYANT
Practice Address - State:AR
Practice Address - Zip Code:72022-9282
Practice Address - Country:US
Practice Address - Phone:501-326-3889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-23
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA006018363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner