Hicks, Susan Renee

Hicks, Susan Renee is an sole proprietor health care provider with primary practice located at 2804 Frederica Street Suite 1, Owensboro KY 42301-4230. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Continuing Education/Staff Development, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Hicks, Susan Renee can be contacted via phone (270) 240-3633.

Contact Information

Primary practice address
2804 Frederica Street Suite 1 Owensboro KY 42301-4230
Phone: (270) 240-3633
Fax: (877) 258-2979
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Continuing Education/Staff Development 163WC1600X 1117248 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3012695 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3012695 Kentucky

Profile Details

NPI number 1326541988
LBN Legal business name Hicks, Susan Renee
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2018
Last updated Jan 24th, 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 1326541988 NPPES
Kentucky MEDICAID 7100561170

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