Individual
DIANNA HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
219 HERITAGE HILLS RD, HARRIMAN, TN 37748-3968
(423) 369-4927
(423) 717-5646
Mailing address
219 HERITAGE HILLS RD, HARRIMAN, TN 37748-3968
(423) 369-4927
(423) 717-5646
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000064949
TN
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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