Individual
CAROLYN JEAN HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
18877 JEB STUART HWY, STUART, VA 24171-5223
(276) 694-4466
Mailing address
1323 MAPLE SHADE RD, LAUREL FORK, VA 24352-3851
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0024197007
VA
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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