person
Mrs. Miranda Hickle, FNP
Family Nurse Practitioner in Jefferson City, Tennessee
NPI 1528317054

Miranda Hickle is a Family Nurse Practitioner based in Jefferson City, TN and is specialized in Family. Miranda Hickle practices in Jefferson City, TN and has the professional credentials of FNP. The NPI Number for Miranda Hickle is 1528317054 and holds a License No. 16752 (Tennessee).

The current practice location address for Miranda Hickle is 1059 E Highway 11 E, Jefferson City, TN and can be reached out via phone at 865-375-6005 and via fax at 865-471-0244.

Location: 1059 E Highway 11 E, Jefferson City, TN, 37760-4910
person
Provider Profile Details
NPI Number
1528317054
Provider Name
Miranda Hickle
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1059 E Highway 11 E, Jefferson City, TN, 37760-4910
Phone Number
865-375-6005
Fax Number
865-471-0244
Provider Enumeration Date
08/30/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1530430 05 TN
institution
Provider Business Practice Location Address Details
Address
1059 E Highway 11 E
City
State
Zip
37760-4910
Phone Number
865-375-6005
Fax Number
865-471-0244
person
Provider Business Mailing Address Details
Address
1059 E Highway 11 E
City
State
Zip
37760-4910
Phone Number
865-375-6005
Fax Number
865-471-0244
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
16752 (Tennessee)
Definition
Definition to come...
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