Organization
RELIEF INTEGRATED HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONNIE HICKS DNP, NP, D-PMHNP (CEO)
(919) 422-2359
Entity
Organization
Contact information
Practice address
109 JOLLY ST, LOUISBURG, NC 27549-2239
(919) 791-7745
Mailing address
3213 JESELLA DR, RALEIGH, NC 27610-5556
(919) 422-2359
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5004262
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5004262
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7004376
—
NC
Enumeration date
09/10/2017
Last updated
09/10/2017
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