Individual provider · Type 1 NPI
Lydia Ellen Hicks, RN
Community Health Registered Nurse · Portland, TN
NPI number
1710494117
Active
Practice location
214 W. Longview Drive
Portland, TN 37148
Mailing address
1443 Winding Way Drive
White House, TN 37188
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse Primary | 163WC1500X | RN0000183239 (TN) |
Community Health Registered Nurse: Definition to come...
Other community health registered nurse providers in Portland
About NPI 1710494117
Lydia Ellen Hicks, RN's National Provider Identifier is 1710494117, issued on Jan 8, 2018. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Portland, TN. The record was last updated on Jan 8, 2018.