MARTHA MICHELLE HICKS


Address: 1833 Boulevard, Ufjp - Chfm - Shands Total Care Clinic, Jacksonville, FL 32206-4382
Phone: 9043831040

MARTHA MICHELLE HICKS (NPI# 1932448321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932448321
Entity Type Individual
Full Name MARTHA MICHELLE HICKS
Other Name MARTHA MURPHY, MCNEIL
Credential ARNP
Practice Address 1833 Boulevard
Ufjp - Chfm - Shands Total Care Clinic
Jacksonville
FL 32206-4382
Mailing Address Po Box 44008
Ufjp - Provider Enrollment
Jacksonville
FL 32231-4008
Practice Telephone 9043831040
Practice Fax Number 9042448952
Mailing Telephone 9042443199
Mailing Fax Number 9042443425
Enumeration Date 2013-02-06
Last Update Date 2016-05-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
ARNP9237030 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 008279100 05

Other Providers MARTHA HICKS

NPI Name Taxonomy Address Enumeration
1710069984 Martha Hicks Physical Medicine & Rehabilitation 1176 Riddlewood Ln, Highlands Ranch, CO 80129-6990 2006-10-19

Office Location

Street Address 1833 BOULEVARD
UFJP - CHFM - SHANDS TOTAL CARE CLINIC
City JACKSONVILLE
State FL
Zip Code 32206-4382

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740289180 Siddiqa K Khan Family Medicine 1833 Boulevard, Va Outpatient Clinic, Jacksonville, FL 32206-4382 2005-07-19
1306322656 Johnnie Bradley-goodman Nurse Practitioner 1833 Boulevard, Jacksonville, FL 32206 2018-07-18
1538541321 Daniel Kwamena Korsah Nurse Practitioner 1833 Boulevard, 5th Floor, Jacksonville, FL 32206-4382 2015-06-29
1902296080 Byron Melvin Johnson Nurse Practitioner 1833 Boulevard, Jacksonville, FL 32206-4382 2015-01-28
1447524012 Tracie Claudice Rutledge Nurse Practitioner 1833 Boulevard, Ufjax - Total Care Clinic, Jacksonville, FL 32206-4382 2012-02-29
1649543232 Monica Lynn Monahan Psychologist 1833 Boulevard, Jacksonville, FL 32206-4382 2012-02-14
1932436169 Lionel Staplefoote Case Manager/Care Coordinator 1833 Boulevard, Suite 500, Jacksonville, FL 32206-4382 2009-11-09
1770810251 Christina Adkins Shotwell Psychologist 1833 Boulevard, Jacksonville, FL 32206-4382 2009-11-04
1245564327 Maria Antoun Pharmacist 1833 Boulevard, Jacksonville, FL 32206-4382 2009-09-23
1932330016 Denise A Daniels Counselor 1833 Boulevard, Suite 500, Jacksonville, FL 32206-4382 2009-08-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790275543 Marvin Victor Sindel IIi Nurse Practitioner 1241 E 8th St, Jacksonville, FL 32206 2018-05-17
1982126553 Marcia Camille Holloway In Home Supportive Care 647 East 31th Street, Jacksonville, FL 32206 2017-07-14
1407302656 Tahnita Fleming Day Training, Developmentally Disabled Services 1309 Van Buren Street, Jacksonville, FL 32206 2016-08-28
1912202136 Bishop Home Care, Inc Clinic/Center 1627 E 8th Street, Jacksonville, FL 32206 2011-01-19
1407183965 Richard Adam Crosby Chiropractor 4211 North Pearl St., Jacksonville, FL 32206 2009-11-04
1346494903 Delvenia Renee Mitchell Specialist 4515 N Pearl St Apt 2, Jacksonville, FL 32206 2008-11-10
1962662775 Curtis Michael Bryant Radiology 2015 Jefferson Street, University of Florida Proton Institute, Jacksonville, FL 32206 2008-06-15
1932253879 Gale Marie Cohen-weiss Social Worker Veterans Health System, Jacksonville Outpatient Clinic, 1833 Boulevard, Jacksonville, FL 32206 2007-01-22
1396817557 Bella Caimol Ejercito Internal Medicine 4608 Norwood Ave, Jacksonville, FL 32206 2006-11-14
1962584433 Jessica Ivette Warthen Pharmacist 1833 Boluevard, Department of Veterans Affairs; Mental Health Clinic, Jacksonville, FL 32206 2006-10-20
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881293868 Maria Fe Guboc Rufano-sulit Nurse Practitioner 3682 Summerlin Ln, Jacksonville, FL 32224-1650 2020-10-21
1346849502 Caitlin Flott Nurse Practitioner 14589 Camberwell Ln S, Jacksonville, FL 32258-1708 2020-10-20
1972101137 Amanda Brooke Mills Nurse Practitioner 8459 Oak Crossing Dr W, Jacksonville, FL 32244-6949 2020-10-10
1649877200 Shalom Barile Nurse Practitioner 1377 Ingleside Ave, Jacksonville, FL 32205-7733 2020-10-07
1013524248 Claudia Joseph Nurse Practitioner 3331 Net Ct, Jacksonville, FL 32277-2735 2020-10-01
1063029577 Erica Francisca Andrade Nurse Practitioner 5475 Turkey Creek Rd, Jacksonville, FL 32244-8549 2020-09-29
1568078418 Jennifer Ruth Woodard Nurse Practitioner 29 Trinity Way, Jacksonville, AL 36265-5813 2020-09-16
1013522309 William David Michal Nurse Practitioner 4417 Chippewa Dr, Jacksonville, FL 32210-6006 2020-09-13
1063025906 Fabiola Baptiste Nurse Practitioner 9143 Philips Hwy Ste 110, Jacksonville, FL 32256-1365 2020-08-29
1295348464 Debi Cohen Nurse Practitioner 11266 Cloverhill Ct, Jacksonville, FL 32257-1438 2020-08-27
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Competitor

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City JACKSONVILLE
Zip Code 32206

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Dataset Information

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.

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