Most Relevant Information
Provider Data
| NPI Number: | 1003434473 |
| Provider Name: | AMANDA B HICKS DNP, APRN, FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 3014696 |
Most Important Dates
| Enumeration Date: | 07/11/2020 |
| Last Updated: | 08/02/2024 |
Provider Practice Location
1930 BISHOP LN FL 12
LOUISVILLE
KY
402181921
Practice Location Phone/Fax
| Phone: | 5022725220 |
| Fax: | 5022725117 |
Provider Mailing Location
PO BOX 776351
CHICAGO
IL
606776351
Provider Mailing Phone/Fax
| Phone: | 5025889490 |
| Fax: | 5022725116 |