Individual provider · Type 1 NPI

Lisa M. Hicks, CPNP

Pediatric Nurse Practitioner · Dothan, AL

NPI number 1497021414 Active

Practice location

126 Clinic Dr
Dothan, AL 36303-1980

Fax (334) 340-5918

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X1-109237 (AL)

Pediatric Nurse Practitioner: Definition to come...

23 other providers at this address

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About NPI 1497021414

Lisa M. Hicks, CPNP's National Provider Identifier is 1497021414, issued on Mar 23, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Dothan, AL. The record was last updated on Jul 6, 2017.