Hicks, Amy J

Hicks, Amy J is an individual health care provider with primary practice located at 4761 S Cleveland Ave Ste 3 , Fort Myers FL 33907-1375. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Hicks, Amy J can be contacted via phone (239) 343-9722.

Contact Information

Primary practice address
4761 S Cleveland Ave Ste 3 Fort Myers FL 33907-1375
Phone: (239) 343-9722
Fax: (239) 343-9725
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9300175 Florida
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN9300175 Florida

Profile Details

NPI number 1588991533
LBN Legal business name Hicks, Amy J
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2009
Last updated Mar 25th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588991533 NPPES
Florida MEDICAID 001641700

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