Individual
ASHLEY HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
224 S CHURCH ST STE B, BROOKHAVEN, MS 39601-3232
(601) 757-2060
Mailing address
224 S CHURCH ST STE B, BROOKHAVEN, MS 39601-3232
(601) 990-4028
(601) 990-4029
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
879993
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06607278
—
MS
Enumeration date
07/09/2014
Last updated
01/19/2023
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