Julie A. Hicks, RN
Individual provider Active NPI Registered Nurse · Portland, TN
NPI 1043433345 · NPPES record last updated Jul 18, 2007
Key facts
- NPI
- 1043433345
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 150946 (TN)
- Practice address
- 100 Allison Chase
Portland, TN 37148-2243 - Phone
- (615) 323-7727
- NPI assigned
- Apr 11, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150946 | TN | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 150946 | TN | Yes |
Addresses
Primary practice location
100 Allison Chase
Portland, TN 37148-2243
Mailing address
100 Allison Chase
Portland, TN 37148-2243
Phone (615) 323-7727
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150946 | Other | TN | RN |
Other providers in Portland, TN
- Jennifer Lynn Harris
- Clark Hastings
- Hendersonville Hospital Corporation
- Hendersonville Hospital Corporation
- Chasity Henson
- Lydia Ellen Hicks
- Sherelen Hodges
- Hospital Based Medical Services of Tennessee-I PC
- Nicole Beall Jaques
- John a Taylor MD
All providers in Portland, TN · Registered Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.