Individual
CASSANDRA GIBBS HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP NP-C
Contact information
Practice address
1680 SE LYNGATE DR, FORT PIERCE, FL 34952-4300
(772) 335-9808
(772) 335-9818
Mailing address
1680 SE LYNGATE DR, PORT SAINT LUCIE, FL 34952-4300
(772) 335-9808
(772) 335-9818
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9275760
FL
Other
Enumeration date
07/23/2008
Last updated
04/08/2015
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