| Tara Hicks, RN | |
|
110 Patton Ave, Hattiesburg, MS 39401-6155 | |
| (601) 582-1111 | |
| (605) 450-0765 |
| Full Name | Tara Hicks |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse |
| Location | 110 Patton Ave, Hattiesburg, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124774831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | R861341 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Hicks, RN Po Box 18679, Hattiesburg, MS 39404-8679 Ph: (601) 705-1901 | Tara Hicks, RN 110 Patton Ave, Hattiesburg, MS 39401-6155 Ph: (601) 582-1111 |
John Cade Hathorn, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 15 Paradise Ln, Hattiesburg, MS 39402 Phone: 601-408-0295 |
Stevany Jackson, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 64 Oak St, Hattiesburg, MS 39402 Phone: 601-520-2109 |
Kelley Pounds, RN, CDE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5909 U S Highway 49, Suite 30, Hattiesburg, MS 39402 Phone: 601-296-2780 Fax: 601-296-2781 |
Peggy Enterkin, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 103 S 19th Ave, Hattiesburg, MS 39401 Phone: 601-544-4641 |
Mrs. Gail Davis Weldy, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 70 Leaf Ln, Hattiesburg, MS 39402 Phone: 601-264-9764 Fax: 601-216-3393 |
Mr. Al Cervantes, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1204 W 7th St, Hattiesburg, MS 39401 Phone: 601-909-6832 Fax: 601-909-6891 |
Angela Anita Davis, MSN, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4010 Oferral St Ste 209, Hattiesburg, MS 39402 Phone: 601-689-5021 |