Healthcare Provider Details

I. General information

NPI: 1578490181
Provider Name (Legal Business Name): LINDA MAY HICKS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2308 E BEDFORD AVE
FRESNO CA
93720-0236
US

IV. Provider business mailing address

2308 E BEDFORD AVE
FRESNO CA
93720-0236
US

V. Phone/Fax

Practice location:
  • Phone: 559-977-3351
  • Fax:
Mailing address:
  • Phone: 559-977-3351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number493087
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number493087
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: