Individual
MRS. NICOLE DENISE HICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1120 N CHARLES ST STE 400, BALTIMORE, MD 21201-5594
(443) 739-3814
(833) 975-0904
Mailing address
1120 N CHARLES ST STE 400, BALTIMORE, MD 21201-5594
(443) 739-3889
(833) 975-0904
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R204896
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
666351600
—
MD
Enumeration date
10/29/2019
Last updated
10/10/2025
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