Individual provider · Type 1 NPI

Tyese Lorraine Hicks, RN

Registered Nurse · Petersburg, VA

NPI number 1124961404 Active

Practice location

1968 Walker Ave
Petersburg, VA 23803-4749

Specialties and licenses

TaxonomyCodeLicense
Continuing Education/Staff Development Registered Nurse 163WC1600X0001259986 (VA)
Registered Nurse Primary 163W00000X0001259986 (VA)

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 1124961404

Tyese Lorraine Hicks, RN's National Provider Identifier is 1124961404, issued on Apr 13, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Petersburg, VA. The record was last updated on Apr 13, 2026.