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Individual

LINDA JEAN HICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN,FNP

Contact information

Practice address
105 N CRUTCHFIELD ST # 2, DOBSON, NC 27017-8804
(888) 789-2922
(336) 789-4334
Mailing address
105 N CRUTCHFIELD ST # 2, DOBSON, NC 27017-8804
(888) 789-2922
(336) 789-4334

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
0001263586
VA
163WG0000X
General Practice Registered Nurse
201374
NC
363L00000X
Nurse Practitioner
0024188193
VA
363L00000X
Nurse Practitioner
5013962
NC
363LF0000X
Family Nurse Practitioner
0024188193
VA
363LF0000X
Family Nurse Practitioner
Primary
5013962
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5013962
NCBON
NC
Enumeration date
12/29/2020
Last updated
11/09/2023
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