TENNILLE MORRIS HICKS (NPI# 1821608399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821608399 |
| Entity Type | Individual |
| Full Name | TENNILLE MORRIS HICKS |
| Credential | FNP-BC |
| Practice Address |
2119 Silva Way Conley GA 30288-1733 |
| Practice Telephone | 6787890762 |
| Mailing Telephone | 6787890762 |
| Enumeration Date | 2020-08-08 |
| Last Update Date | 2020-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN240178 | GA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN240178 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2119 SILVA WAY |
| City | CONLEY |
| State | GA |
| Zip Code | 30288-1733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720333198 | Lonuis Lucky | Adult Companion | 1625 Conley Rd. 222, Conley, GA 30288 | 2012-07-20 |
| 1356534242 | American Current Care Pa | Clinic/Center | 4223 Moreland Avenue Hwy 42, Conley, GA 30288 | 2007-08-23 |
| 1114044245 | Harriette L Badger | Physician Assistant | 4223 Highway 42, Conley, GA 30288 | 2007-03-23 |
| 1871502807 | Occupational Health Centers of Georgia PC | Clinic/Center | 4223 Morland Ave., Highway 42, Conley, GA 30288 | 2006-08-07 |
| 1306963442 | Harlan G Lebow | Preventive Medicine | 4223 Highway 42, Conley, GA 30288 | 2007-03-23 |
| 1205199163 | 24/7 Drug & Alcohol Testing Center | Clinical Medical Laboratory | 1397 Cedar Grove Rd, Conley, GA 30288-1107 | 2012-06-15 |
| 1437795788 | Melanie Stone | Technician | 1789 Claron Ave, Conley, GA 30288-1308 | 2019-11-21 |
| 1720590607 | Fremetia Kaye Anderson | Counselor | 4205 Janjolin Dr, Conley, GA 30288-1309 | 2017-10-31 |
| 1881063576 | Entelechy Rehab, LLC | Clinic/Center | 4015 Moore Creek Dr, Conley, GA 30288-1359 | 2015-09-23 |
| 1407144009 | Catherine Roberts | Counselor | 4040 Moore Creek Dr, Conley, GA 30288-1360 | 2011-07-16 |
| Find all providers in zip 30288 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285486 | Aprn Mobile Clinic LLC | Nurse Practitioner | 1361 Highwoods Pass, Grovetown, GA 30813-3994 | 2020-11-08 |
| 1093316820 | Odyne Rose Lacossiere-dorvilus | Nurse Practitioner | 30 Myrtlewood Dr, Savannah, GA 31405-1024 | 2020-11-06 |
| 1104427061 | Tya Wright | Nurse Practitioner | 1450 Newnan Crossing Blvd E Apt 13205, Newnan, GA 30265-0027 | 2020-11-05 |
| 1235730409 | Cheryl Lynn Williams | Nurse Practitioner | 282 Somerset Dr, Dallas, GA 30132-9761 | 2020-11-04 |
| 1033710298 | Karen F Frazier | Nurse Practitioner | 6610 Crest Wood Ln, Douglasville, GA 30135-9046 | 2020-11-04 |
| 1619578986 | Marjorie Sewannyana | Nurse Practitioner | 553 Camano Way, Mcdonough, GA 30253-8377 | 2020-11-03 |
| 1639770027 | Markesha Leshea Groomes | Nurse Practitioner | 209 N. Cuthbert, Colquitt, GA 39837-3515 | 2020-11-03 |
| 1265033625 | Ashley Thomas | Nurse Practitioner | 3750 Venture Dr Ste E4, Duluth, GA 30096-1863 | 2020-11-03 |
| 1558962894 | Anna Marie Kodama | Nurse Practitioner | 462 Furys Ferry Rd # C, Augusta, GA 30907-9506 | 2020-11-03 |
| 1093315848 | Tracy Tarvers | Nurse Practitioner | 129 Wolf Creek Dr N, Macon, GA 31210-9002 | 2020-10-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.