Hicks, Stephanie L

Hicks, Stephanie L is an individual health care provider with primary practice located at 132 Goldenrod Dr , Saint Augustine FL 32092-7665. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hicks, Stephanie L can be contacted via phone (815) 342-4901.

Contact Information

Primary practice address
132 Goldenrod Dr Saint Augustine FL 32092-7665
Phone: (815) 342-4901
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.005757 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9118138 Florida

Profile Details

NPI number 1366808735
LBN Legal business name Hicks, Stephanie L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2016
Last updated Feb 25th, 2024 - about last year

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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