| NPI | 1922126150 | 
|---|---|
| Former Name | SHARON JEAN HICKS | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN0000006098)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000071386)  | 
| Enumeration Date | 2007-03-26 | 
| Last Update Date | 2015-10-30 |