Individual provider · Type 1 NPI

Tara Hicks, RN

Registered Nurse · Hattiesburg, MS

NPI number 1124774831 Active

Practice location

110 Patton Ave
Hattiesburg, MS 39401-6155

Call (601) 582-1111 Map

Fax (605) 450-0765

Mailing address

PO Box 18679
Hattiesburg, MS 39404-8679

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XR861341 (MS)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1124774831

Tara Hicks, RN's National Provider Identifier is 1124774831, issued on Feb 22, 2022. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Hattiesburg, MS. The record was last updated on Feb 22, 2022.