Individual
RHONDA L HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1420 JEFFERSON ST, LAUREL, MS 39440-4243
(601) 428-8428
(601) 428-8443
Mailing address
1420 JEFFERSON ST, LAUREL, MS 39440-4243
(601) 428-8428
(601) 428-8443
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R781325
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0121348
—
MS
Enumeration date
06/13/2006
Last updated
12/01/2008
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