MIRANDA SUE HICKS

JACKSON, TN
NPI1528631538
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  29208)
Enumeration Date2021-07-19
Last Update Date2022-03-15
Business Address
MIRANDA SUE HICKS NP-C
367 HOSPITAL BLVD
JACKSON, TN 38305-2080
Phone number: 731-541-6834
Mailing Address
MIRANDA SUE HICKS NP-C
1804 HIGHWAY 45 BYP STE 604
JACKSON, TN 38305-4403
Phone number: 731-660-7971
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