Individual provider · NPI-1

Shylisa Hicks, NP

Nurse Practitioner, Pediatrics · Cypress, TX

NPI number1154964930
StatusActive
Last updated in NPPESJan 13, 2024

Details

NPI
1154964930
Entity type
Individual (NPI-1)
Name
Shylisa Hicks
Credential
NP
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 23, 2019
Certification date
Jan 13, 2024
Last updated
Jan 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics1088788TXYes
163WN0002X Registered Nurse, Neonatal Intensive Care929193TX
208000000X Pediatrics1088788TX

Practice location

20403 Fm 529 Rd Ste 200
Cypress, TX 77433-5379

Phone 281-656-4041

Mailing address

20403 Fm 529 Rd Ste 200
Cypress, TX 77433-5379

Phone 281-656-4041

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