MIRANDA HICKLE

JEFFERSON CITY, TN
NPI1528317054
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: TN  16752)
Enumeration Date2012-08-30
Last Update Date2024-02-09
Business Address
MRS. MIRANDA HICKLE FNP
1059 E HIGHWAY 11 E
JEFFERSON CITY, TN 37760-4910
Phone number: 865-375-6005
Mailing Address
MRS. MIRANDA HICKLE FNP
1059 E HIGHWAY 11 E
JEFFERSON CITY, TN 37760-4910
Phone number: 865-375-6005