Hicks, Emily Marie

Hicks, Emily Marie is an individual health care provider with primary practice located at 1374 Highway 192 E # 400 , London KY 40741-3123. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Hicks, Emily Marie can be contacted via phone (606) 770-5454.

Contact Information

Primary practice address
1374 Highway 192 E # 400 London KY 40741-3123
Fax: (606) 770-5455
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 3016313 Kentucky

Profile Details

NPI number 1952971129
LBN Legal business name Hicks, Emily Marie
Credentials APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2021
Last updated Oct 28th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952971129 NPPES
Kentucky MEDICAID 7100757780

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