Individual provider · Type 1 NPI
Susan Jane Nisson Hicks, CRNP
Family Nurse Practitioner · Bryans Road, MD
NPI number
1164049029
Active
Practice location
3145 Marshall Hall Rd
Bryans Road, MD 20616-4263
Fax (301) 684-2134
Mailing address
900 Elkridge Landing Rd
Linthicum Heights, MD 21090-2924
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R091864 (MD) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1164049029
Susan Jane Nisson Hicks, CRNP's National Provider Identifier is 1164049029, issued on Jun 26, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bryans Road, MD. The record was last updated on Mar 17, 2025.