Individual provider · Type 1 NPI

Rachel Marie Hicks, MSN BSN RN AG-ACNP

Gerontology Nurse Practitioner · Roanoke, VA

NPI number 1083264782 Active

Practice location

1234 Franklin Rd SW
Roanoke, VA 24016-4606

Fax (540) 342-2745

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713

Other practice locations

  • 1906 Belleview Ave SE, Roanoke, VA 24014-1838 · (540) 981-7000

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X0024178152 (VA)
Nurse Practitioner 363L00000X0024178152 (VA)
Acute Care Nurse Practitioner 363LA2100X0024178152 (VA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1083264782

Rachel Marie Hicks, MSN BSN RN AG-ACNP's National Provider Identifier is 1083264782, issued on Sep 13, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Roanoke, VA. The record was last updated on Dec 16, 2025.