Most Relevant Information
Provider Data
| NPI Number: | 1003640277 |
| Provider Name: | BRANDY JOHNSON HICKS NP |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/29/2024 |
| Last Updated: | 09/30/2024 |
Provider Practice Location
18 13TH AVE NE
HICKORY
NC
286013748
Practice Location Phone/Fax
| Phone: | 8283222644 |
| Fax: |
Provider Mailing Location
18 13TH AVE NE
HICKORY
NC
286013748
Provider Mailing Phone/Fax
| Phone: | 8283222644 |
| Fax: |