Individual
AUBRI BAILEY HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
350 W WOODROW AVE, JACKSON, MS 39213-7681
(601) 815-1212
(601) 815-3123
Mailing address
504 CLINTON CENTER DRIVE, CBO - SUITE 4300, CLINTON, MS 39056
(601) 815-1212
(601) 815-3123
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R884256
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00384231
—
MS
Enumeration date
06/07/2014
Last updated
11/29/2021
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