Individual
TIFFANY HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1700 NICHOLASVILLE RD STE 701, LEXINGTON, KY 40503-1467
(859) 278-0396
Mailing address
1700 NICHOLASVILLE RD STE 701, LEXINGTON, KY 40503-1467
(859) 278-0396
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
3010398
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100444030
—
KY
Enumeration date
09/19/2016
Last updated
12/09/2020
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