Timothy Lucas Hicks, CRNP
Nurse Practitioner, Family in Vestavia Hills, AL. Individual provider (NPI-1).
NPI number1497592208
StatusActive
Last updated in NPPESJul 9, 2024
Details
- NPI
- 1497592208
- Entity type
- Individual (NPI-1)
- Name
- Timothy Lucas Hicks
- Credential
- CRNP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 9, 2024
- Certification date
- Jul 9, 2024
- Last updated
- Jul 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1-117692 | AL | Yes |
Practice location
1932 Laurel Rd Ste 1bVestavia Hills, AL 35216-1939
Phone 205-421-3420
Mailing address
1041 Independence CtAlabaster, AL 35007-9361
Phone 205-706-3793
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