Individual provider · Type 1 NPI

Beverly J. Hickman, MSN, RN, AGPCNP-BC

Gerontology Nurse Practitioner · The Woodlands, TX

NPI number 1114428745 Active

Practice location

2002 Timberloch Pl Ste 150
The Woodlands, TX 77380-1198

Mailing address

12381 Lake Vista Dr
Willis, TX 77318-5242

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XAP136810 (TX)
Primary Care Nurse Practitioner 363LP2300XAP136810 (TX)
Gerontology Nurse Practitioner Primary 363LG0600XAP136810 (TX)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1114428745

Beverly J. Hickman, MSN, RN, AGPCNP-BC's National Provider Identifier is 1114428745, issued on Feb 28, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in The Woodlands, TX. The record was last updated on Jun 17, 2025.