Individual
LAURYN HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3 JOHN EVERETT RD, MOSELLE, MS 39459-9771
(601) 620-9991
Mailing address
1946 GLADIOLUS DR, LAUREL, MS 39440-4818
(601) 335-2269
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
906300
MS
Other
Enumeration date
11/06/2023
Last updated
12/13/2023
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