person
Ms. Emily Elaine Hickerson, NP
Family Nurse Practitioner in Louisville, Kentucky
NPI 1780024612

Emily Elaine Hickerson is a Family Nurse Practitioner based in Louisville, KY and is specialized in Family. Emily Elaine Hickerson practices in Louisville, KY and has the professional credentials of NP. The NPI Number for Emily Elaine Hickerson is 1780024612 and holds a License No. 3008116 (Kentucky).

The current practice location address for Emily Elaine Hickerson is 4003 Kresge Way Ste 300, Louisville, KY and can be reached out via phone at 502-897-5139 and via fax at 502-896-6218.

Location: 4003 Kresge Way Ste 300, Louisville, KY, 40229-2182
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Provider Profile Details
NPI Number
1780024612
Provider Name
Emily Elaine Hickerson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
4003 Kresge Way Ste 300, Louisville, KY, 40229-2182
Phone Number
502-897-5139
Fax Number
502-896-6218
Provider Enumeration Date
06/25/2013
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100259160 05 KY
12569301 01 CAQH
institution
Provider Business Practice Location Address Details
Address
4003 Kresge Way Ste 300
City
State
Zip
40207-4652
Phone Number
502-897-5139
Fax Number
502-896-6218
person
Provider Business Mailing Address Details
Address
4003 Kresge Way Ste 300
City
State
Zip
40207-4652
Phone Number
502-897-5139
Fax Number
502-896-6218
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
3008116 (Kentucky)
Definition
Definition to come...
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