NPI Profile for SHYLISA HICKS in CYPRESS, TX.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
363LP0200X | 50 | Nurse Practitioner | |
Neonatal Intensive Care |
163WN0002X | |||
Pediatrics |
208000000X | 37 | Physician/Pediatric Medicine |
| NPI Number | 1154964930 |
|
| Status | Active | |
| Credentials | NP (Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 10/23/2019 | |
| Last updated | 01/13/2024 - About 2 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SHYLISA HICKS
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