Individual
KECIA HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
691 INSTITUTION RD, DEFUNIAK SPRINGS, FL 32433-1850
(850) 951-6522
Mailing address
2751 US HIGHWAY 90 E, DEFUNIAK SPRINGS, FL 32433-5633
(850) 333-3132
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11009530
FL
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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