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NPI Code Detail

MEDICARE: KIERRA HICKERSON

MEDICARE: KIERRA HICKERSON
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1801509591
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIERRA HICKERSON
Provider Business Mailing Address
First Line : 2601 TULANE AVE STE 3003
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70119-7462
Country : US
Telephone Number : 504-570-6120
Fax Number :
Provider Business Practice Location Address
First Line : 2601 TULANE AVE STE 3003
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70119-7462
Country : US
Telephone Number : 504-570-6120
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2022
Last Update Date : 12/28/2022

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Directions to “ KIERRA HICKERSON ” Practice Location

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