Lisa M Hicks, CPNP Valid NPI

Individual provider · Pediatric Nurse Practitioner · Dothan, AL

NPI

1497021414

Type

Individual (Type 1)

Primary specialty

Pediatric Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0200X

License number

1-109237 (AL)

Sex

Female

Sole proprietor

No

Enumerated

2012-03-23

Last updated

2017-07-06