Susan Jane Nisson Hicks, CRNP Valid NPI

Individual provider · Family Nurse Practitioner · Bryans Road, MD

NPI

1164049029

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

R091864 (MD)

Sex

Female

Sole proprietor

No

Enumerated

2020-06-26

Last updated

2025-03-17