| Randall S Hicks, FNP-C | |
| 
					1381 S Patrick Dr, Patrick Afb, FL 32925-3606  | |
| (321) 494-8423 | |
| (321) 494-8334 | 
| Full Name | Randall S Hicks | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1381 S Patrick Dr, Patrick Afb, Florida | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1760726699 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 111716 (Nebraska) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Randall S Hicks, FNP-C 1381 S Patrick Dr, Patrick Afb, FL 32925-3606 Ph: (321) 494-8423  | Randall S Hicks, FNP-C 1381 S Patrick Dr, Patrick Afb, FL 32925-3606 Ph: (321) 494-8423  | 
Naquita Jackson Manning, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1381 S Patrick Dr, 45th Medical Group, Patrick Afb, FL 32925 Phone: 678-517-7363  | |
Matthew Parker Padgett, FMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1381 S Patrick Dr, Patrick Afb, FL 32925 Phone: 321-494-8234  | |
Maria Del Pilar Woods, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1381 S Patrick Dr, Patrick Afb, FL 32925 Phone: 321-494-8334  | |
Lakisha C Miller, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1381 S Patrick Dr, Patrick Afb, FL 32925 Phone: 321-494-8241 Fax: 321-494-8334  |