person
Kerry Hicks, NP
Family Nurse Practitioner in Olive Branch, Mississippi
NPI 1700815263

Kerry Hicks is a Family Nurse Practitioner based in Olive Branch, MS and is specialized in Family. Kerry Hicks practices in Olive Branch, MS and has the professional credentials of NP. The NPI Number for Kerry Hicks is 1700815263 and holds a License No. R854092 (Mississippi).

The current practice location address for Kerry Hicks is 7163 Goodman Rd, Olive Branch, MS and can be reached out via phone at 662-895-3700 and via fax at 662-895-4886.

Location: 7163 Goodman Rd, Olive Branch, MS, 38654-1904
person
Provider Profile Details
NPI Number
1700815263
Provider Name
Kerry Hicks
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
7163 Goodman Rd, Olive Branch, MS, 38654-1904
Phone Number
662-895-3700
Fax Number
662-895-4886
Provider Enumeration Date
06/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09809597 05 MS
1035971 05 LA
institution
Provider Business Practice Location Address Details
Address
7163 Goodman Rd
City
State
Zip
38654-1904
Phone Number
662-895-3700
Fax Number
662-895-4886
person
Provider Business Mailing Address Details
Address
7163 Goodman Rd
City
State
Zip
38654-1904
Phone Number
662-895-3700
Fax Number
662-895-4886
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R854092 (Mississippi)
Definition
Definition to come...
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