Healthcare Provider Details

I. General information

NPI: 1669266086
Provider Name (Legal Business Name): DEE NAY HICKS APRN, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2025
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 N BONNIE BRAE ST
DENTON TX
76201-3727
US

IV. Provider business mailing address

323 N BONNIE BRAE ST
DENTON TX
76201-3727
US

V. Phone/Fax

Practice location:
  • Phone: 404-847-1009
  • Fax:
Mailing address:
  • Phone: 404-847-1009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1190211
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number1190211
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number1190211
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: