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Individual

ASHLEIGH DENA HICKERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
900 HOSPITAL DR, MADISONVILLE, KY 42431-1644
(270) 875-3502
(270) 825-5551
Mailing address
900 HOSPITAL DR, MADISONVILLE, KY 42431-1644
(270) 875-3502
(270) 825-5551

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3010795
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100471580
KY
01
K139260
MEDICARE
Enumeration date
10/18/2016
Last updated
08/16/2022
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