Herren, Dina Hicks

Herren, Dina Hicks is an individual health care provider with primary practice located at 1806 Lee Ave , Tifton GA 31794-3639. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Herren, Dina Hicks can be contacted via phone (229) 386-1528.

Contact Information

Primary practice address
1806 Lee Ave Tifton GA 31794-3639
Phone: (229) 386-1528
Fax: (229) 388-0556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN178293 Georgia

Profile Details

NPI number 1548658107
LBN Legal business name Herren, Dina Hicks
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2015
Last updated Jan 6th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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