Mrs Henrietta Hicks, LPN is a
Licensed Practical Nurse based in Poplarville, Mississippi. Mrs Henrietta Hicks is licensed to practice in Mississippi (license number P245887) and her current practice location is
50 Dupont Hartschapel Rd., Poplarville, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 795-8732.
NPI number for Mrs Henrietta Hicks is 1881775237 and her current mailing address is 50 Dupont Hartschapel Rd., Poplarville, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881775237.
Provider's Profile
| Full Name | Mrs Henrietta Hicks |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
|---|
| Location | 50 Dupont Hartschapel Rd., Poplarville, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1881775237
- Provider Enumeration Date: 10/18/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Mrs Henrietta Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881775237 | NPI | - | NPPES |
| 00770165 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | P245887 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Henrietta Hicks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Henrietta Hicks, LPN
50 Dupont Hartschapel Rd.,
Poplarville, MS 39470-4231
Ph: (601) 795-8732 | Mrs Henrietta Hicks, LPN
50 Dupont Hartschapel Rd.,
Poplarville, MS 39470-4231
Ph: (601) 795-8732 |
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