# MRS. EMILY ANNE HICKERSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1356885305
- **Gender:** F
- **Credential:** NNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 1642122 | CO | — |
| 363L00000X | Nurse Practitioner | APRN.CNP.023480 | OH | — |
| 363LN0000X | Neonatal Nurse Practitioner | 3012898 | KY | Yes |
| 363LN0005X | Critical Care Neonatal Nurse Practitioner | 0992646 | CO | — |

## Other

- **Enumeration date:** 12/09/2016
- **Last updated:** 12/01/2021