Hicks, Yvonne M

Hicks, Yvonne M is an individual health care provider with primary practice located at 3612 Groveland Rd. , Ocean Springs MS 39564-4308. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Hicks, Yvonne M can be contacted via phone (228) 818-9008.

Contact Information

Primary practice address
3612 Groveland Rd. Ocean Springs MS 39564-4308
Fax: (228) 818-0750
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R501301 Mississippi

Profile Details

NPI number 1336128248
LBN Legal business name Hicks, Yvonne M
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Jul 8th, 2007 - about 17 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 1336128248 NPPES
Mississippi MEDICAID 06207818

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