person
Mrs. Lisa M Hicks, CPNP
Pediatric Nurse Practitioner in Dothan, Alabama
NPI 1497021414

Lisa M Hicks is a Pediatric Nurse Practitioner based in Dothan, AL and is specialized in Pediatrics. Lisa M Hicks practices in Dothan, AL and has the professional credentials of CPNP. The NPI Number for Lisa M Hicks is 1497021414 and holds a License No. 1-109237 (Alabama).

The current practice location address for Lisa M Hicks is 126 Clinic Dr, Dothan, AL and can be reached out via phone at 334-793-1881 and via fax at 334-340-5918. You can also correspond with Lisa M Hicks through the mailing address at 126 CLINIC DR, DOTHAN, AL - 36303-1980 (mailing address contact number: 334-793-1881).

Location: 126 Clinic Dr, Dothan, AL, 36303-1980
person
Provider Profile Details
NPI Number
1497021414
Provider Name
Lisa M Hicks
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
126 Clinic Dr, Dothan, AL, 36303-1980
Phone Number
334-793-1881
Fax Number
334-340-5918
Provider Enumeration Date
03/23/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
196555 05 AL
institution
Provider Business Practice Location Address Details
Address
126 Clinic Dr
City
State
Zip
36303-1980
Phone Number
334-793-1881
Fax Number
334-340-5918
person
Provider Business Mailing Address Details
Address
126 Clinic Dr
City
State
Zip
36303-1980
Phone Number
334-793-1881
Fax Number
334-340-5918
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
1-109237 (Alabama)
Definition
Definition to come...
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