Individual
MRS. CRYSTAL B HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2215 LANGHORNE RD, LYNCHBURG, VA 24501-1121
(434) 948-4831
Mailing address
3410 OLD FOREST RD, LYNCHBURG, VA 24501-2915
(434) 455-5342
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024175099
VA
Other
Enumeration date
07/17/2017
Last updated
01/22/2018
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