Provider Demographics
NPI:1306024492
Name:HICKS, MARGARET (RNP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:HICKS
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1615
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72145-1615
Mailing Address - Country:US
Mailing Address - Phone:501-776-6093
Mailing Address - Fax:501-776-6019
Practice Address - Street 1:910 N EAST ST
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:72015-3327
Practice Address - Country:US
Practice Address - Phone:501-778-0427
Practice Address - Fax:501-778-5993
Is Sole Proprietor?:No
Enumeration Date:2008-01-31
Last Update Date:2014-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP01008363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARP01008OtherREGISTERED NURSE PRACTIONER
332489YXXNMedicare PIN