Individual
BEVERLY J HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, AGPCNP-BC
Contact information
Practice address
2002 TIMBERLOCH PL STE 150, THE WOODLANDS, TX 77380-1198
(281) 419-4476
Mailing address
12381 LAKE VISTA DR, WILLIS, TX 77318-5242
(281) 217-3235
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP136810
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
AP136810
TX
363LP2300X
Primary Care Nurse Practitioner
AP136810
TX
Other
Enumeration date
02/28/2018
Last updated
06/17/2025
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