Individual
SUSAN JANE NISSON HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3145 MARSHALL HALL RD, BRYANS ROAD, MD 20616-4263
(301) 609-5350
(301) 684-2134
Mailing address
900 ELKRIDGE LANDING RD, LINTHICUM HEIGHTS, MD 21090-2924
(301) 609-5350
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R091864
MD
Other
Enumeration date
06/26/2020
Last updated
03/17/2025
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