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NPI Code Detail

MEDICARE: MRS. AUDREY STOKES HICKS FNP

MEDICARE:  MRS. AUDREY STOKES HICKS  FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPN0000015241TN

General Provider Information

NPI Number : 1770838955
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AUDREY STOKES HICKS FNP
Provider Business Mailing Address
First Line : 1100 KERMIT DR
Second Line : SUITE 106
City : NASHVILLE
State : TN
Zip : 37217-2121
Country : US
Telephone Number : 615-361-6954
Fax Number : 615-360-0947
Provider Business Practice Location Address
First Line : 1100 KERMIT DR
Second Line : SUITE 106
City : NASHVILLE
State : TN
Zip : 37217-2121
Country : US
Telephone Number : 615-361-6954
Fax Number : 615-360-0947
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2012
Last Update Date : 07/13/2012

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Directions to “ MRS. AUDREY STOKES HICKS FNP” Practice Location

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