Individual
STACI NICOLE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
901 LEIGHTON AVE STE 602, ANNISTON, AL 36207-5765
(256) 238-1011
Mailing address
PO BOX 18428, HUNTSVILLE, AL 35804-8428
(256) 705-4224
(256) 705-4135
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-157351
AL
Other
Enumeration date
06/18/2021
Last updated
01/27/2023
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