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Individual

BRANDY JOHNSON HICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
18 13TH AVE NE, HICKORY, NC 28601-3748
(828) 322-2644
Mailing address
18 13TH AVE NE, HICKORY, NC 28601-3748
(828) 322-2644

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F09241197
NC
390200000X
Student in an Organized Health Care Education/Training Program
NC

Other

Enumeration date
08/29/2024
Last updated
09/30/2024
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