MS. NELLIE JO HICKMAN (NPI# 1982994752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982994752 |
| Entity Type | Individual |
| Full Name | MS. NELLIE JO HICKMAN |
| Practice Address |
2555 E Wood St Paris TN 38242-7990 |
| Practice Telephone | 7316414545 |
| Practice Fax Number | 7316414546 |
| Mailing Telephone | 7316414545 |
| Mailing Fax Number | 7316414546 |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2011-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
TN-10037-M | TN | Behavioral Health & Social Service Providers |
| Street Address |
2555 E WOOD ST |
| City | PARIS |
| State | TN |
| Zip Code | 38242-7990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801249347 | Brandy Urban | Counselor | 2555 E Wood St, Paris, TN 38242-7990 | 2016-07-20 |
| 1457704058 | Teddy Reeves | Counselor | 2555 E Wood St, Paris, TN 38242-7990 | 2016-07-19 |
| 1174957922 | Lea Ann Hayes | Counselor | 2555 E Wood St, Paris, TN 38242-7990 | 2013-08-29 |
| 1366876112 | Darecia Ward | Counselor | 2555 E Wood St, Paris, TN 38242-7990 | 2013-08-29 |
| 1083048839 | Heather Jean France | Social Worker | 2555 E Wood St, Paris, TN 38242-7990 | 2013-08-29 |
| 1346674199 | Cristina Blagburn | Licensed Practical Nurse | 2555 E Wood St, Paris, TN 38242-7990 | 2013-08-29 |
| 1437583283 | Melissa Lynn Baker | Licensed Practical Nurse | 2555 E Wood St, Paris, TN 38242-7990 | 2013-08-29 |
| 1265878334 | Vcphcs Xx, LLC | Clinic/Center | 2555 E Wood St, Paris, TN 38242-7990 | 2013-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396374732 | Renee Michelle Girouard | Physician Assistant | 209 B Tyson Ave, Paris, TN 38242 | 2020-04-07 |
| 1255960134 | Alexander P Patrone | Student in an Organized Health Care Education/Training Program | 302b Tyson Ave, Paris, TN 38242 | 2020-04-03 |
| 1457980302 | Aswathy Krishnakumar | Student in an Organized Health Care Education/Training Program | 302b Tyson Avenue, Paris, TN 38242 | 2020-04-03 |
| 1053824052 | Rocky Mountain Holdings, LLC | Ambulance | 1949 Driggs Road, Paris, TN 38242 | 2017-11-13 |
| 1588199152 | Taylor Wilson | Dentist | 3485 Highway 79 N, Paris, TN 38242 | 2017-04-20 |
| 1215472592 | Elizabeth Lane Mcintosh | Behavioral Analyst | 28 Fieldstone Dr, Paris, TN 38242 | 2016-12-22 |
| 1124574959 | Patty Wilson | Counselor | 2555 E. Wood Street, Paris, TN 38242 | 2016-08-31 |
| 1942601539 | Trustworthy Anesthesia Care | Nurse Anesthetist, Certified Registered | 1010 Green Hill Dr, Paris, TN 38242 | 2014-09-15 |
| 1083963946 | West Tennessee Physical Medicine, Pllc | General Practice | 1024 Mineral Wells Avenue, Paris, TN 38242 | 2012-09-06 |
| 1316242514 | Henry Co. Health Dept. | Skilled Nursing Facility | 803 Joy St., Paris, TN 38242 | 2011-01-19 |
| Find all providers in zip 38242 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124574959 | Patty Wilson | Counselor | 2555 E. Wood Street, Paris, TN 38242 | 2016-08-31 |
| 1457778110 | Faithwalk Community Development Corporation | Counselor | 514 Fox St., Paris, MO 65275 | 2014-03-19 |
| 1265706279 | Pierce & Agnew LLC | Counselor | 25 1st St Nw, Paris, TX 75460-4102 | 2012-03-08 |
| 1265571988 | Dennis Vance | Counselor | 408 Virginia Street, Paris, TN 38242 | 2007-02-06 |
| 1013957794 | Melissa Anne Ladd | Counselor | 4545 Thomas Dr, Paris, TX 75462-5131 | 2006-06-08 |
| 1962021329 | Rebound Recovery LLC | Counselor | 5 Linville Dr Ste 102, Paris, KY 40361-2165 | 2020-04-15 |
| 1801249347 | Brandy Urban | Counselor | 2555 E Wood St, Paris, TN 38242-7990 | 2016-07-20 |
| 1457704058 | Teddy Reeves | Counselor | 2555 E Wood St, Paris, TN 38242-7990 | 2016-07-19 |
| 1184095739 | David Coats | Counselor | 737 Lamar Ave, Paris, TX 75460-4479 | 2015-10-08 |
| 1174957922 | Lea Ann Hayes | Counselor | 2555 E Wood St, Paris, TN 38242-7990 | 2013-08-29 |
| Find all providers in PARIS | ||||
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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.