Individual
EMILY MARIE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
1374 HIGHWAY 192 E # 400, LONDON, KY 40741-3123
(606) 770-5454
(606) 770-5455
Mailing address
PO BOX 3261, LONDON, KY 40743-3261
(606) 770-5454
(606) 770-5455
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3016313
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100757780
—
KY
Enumeration date
06/29/2021
Last updated
10/28/2022
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