TYRAH PATRICE HICKMAN

JACKSON, MS
NPI1932735727
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS  903798)
Enumeration Date2020-03-12
Last Update Date2020-03-12
Business Address
Ms. TYRAH PATRICE HICKMAN NP
3450 HIGHWAY 80 W
JACKSON, MS 39209-7201
Phone number: 601-473-6441
Mailing Address
Ms. TYRAH PATRICE HICKMAN NP
1825 S NORRELL RD
BOLTON, MS 39041-3103
Phone number: 601-473-6441
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