Individual
AMY HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
118 N HOSPITAL DR, ABBEVILLE, LA 70510-4039
(337) 898-6489
Mailing address
128 MUSCADINE LANE, LAFAYETTE, LA 70508
(404) 906-9100
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
207836
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
218978
LA
Other
Enumeration date
03/31/2021
Last updated
08/29/2023
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