Individual provider · Type 1 NPI
Tiara Hicks, RN
Psychiatric/Mental Health Nurse Practitioner · Detroit, MI
NPI number
1629785985
Active
Practice location
3901 Chrysler Dr
Detroit, MI 48201-2167
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 4704359854 (MI) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 4704359854 (MI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1629785985
Tiara Hicks, RN's National Provider Identifier is 1629785985, issued on Nov 4, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Detroit, MI. The record was last updated on Sep 15, 2025.