Individual provider · Type 1 NPI
Octavia Annessia Renee Hicks
Student in an Organized Health Care Education/Training Program · Teachey, NC
NPI number
1225795750
Active
Practice location
124 Maple St
Teachey, NC 28464-9522
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1225795750
Octavia Annessia Renee Hicks's National Provider Identifier is 1225795750, issued on Nov 18, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Teachey, NC. The record was last updated on Nov 18, 2021.