Individual
AMY J HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4761 S CLEVELAND AVE STE 3, FORT MYERS, FL 33907-1375
(239) 343-9722
(239) 343-9725
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9722
(239) 343-9725
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN9300175
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN9300175
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001641700
—
FL
Enumeration date
11/12/2009
Last updated
03/25/2021
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