Jamie Leanne Baldy Hicks, CRNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Birmingham, AL
NPI 1659664134 · NPPES record last updated Jul 11, 2012
Key facts
- NPI
- 1659664134
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 1-074196 (AL)
- Practice address
- 619 19TH St S
Birmingham, AL 35233-1900 - Phone
- (205) 975-3107
- NPI assigned
- May 17, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9315696 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama at Birmingham | Current |
Accepting new patients | |
| University of Alabama at Birmingham | Past |
Accepting new patients |
Locations
619 19th St S
Rm JT845
Birmingham, AL 35249
Phone (205) 934-7072
619 19th St S
#409
Birmingham, AL 35249
Phone (205) 602-5256
619 19th St S
Birmingham, AL 35249
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | ARNP 9315696 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1-074196 | AL | Yes |
Addresses
Primary practice location
619 19TH St S
Birmingham, AL 35233-1900
Mailing address
300 Debra Ave
Clanton, AL 35045-2009
Phone (256) 566-6911
Other providers in Birmingham, AL
- Eugene Baldwin Jr.
- Jon Baldwin
- Natalie Orona Baldwin
- Patrick G Baldwin
- Steven T Baldwin
- Bryan Lee Balentine
- Emily Ann Emmons Balette
- Mathew Balette
- Jessica Balik
- Sarah Kathryn Balkcom
All providers in Birmingham, AL · Psychiatric/Mental Health Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2012. 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.