person
Charlene Hicks, NP
Family Nurse Practitioner in New Augusta, Mississippi
NPI 1235599515

Charlene Hicks is a Family Nurse Practitioner based in Hattiesburg, MS and is specialized in Family. Charlene Hicks practices in New Augusta, MS and has the professional credentials of NP. The NPI Number for Charlene Hicks is 1235599515 and holds a License No. 901452 (Mississippi).

The current practice location address for Charlene Hicks is 404 Main Street, New Augusta, MS and can be reached out via phone at 601-964-8391 and via fax at 601-964-8393.

Location: 404 Main Street, New Augusta, MS, 39403-1729
person
Provider Profile Details
NPI Number
1235599515
Provider Name
Charlene Hicks
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
404 Main Street, New Augusta, MS, 39403-1729
Phone Number
601-964-8391
Fax Number
601-964-8393
Provider Enumeration Date
03/01/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
697484 01 MS MEDICARE PIN
03437726 05 MS
institution
Provider Business Practice Location Address Details
Address
404 Main Street
City
State
Zip
39462
Phone Number
601-964-8391
Fax Number
601-964-8393
person
Provider Business Mailing Address Details
Address
404 Main Street
City
State
Zip
39462
Phone Number
601-964-8391
Fax Number
601-964-8393
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
901452 (Mississippi)
Definition
Definition to come...
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