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Timothy Hicks, CRNP
NPI 1497592208 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1932 Laurel Rd Ste 1b
Vestavia Hills, AL 35216 - Phone
- (205) 421-3420
- Organisation at this address
- Southern Ketamine And Wellness Llc
Southern Ketamine And Wellness, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Family Nurse Practitioner
363LF0000X
- Licence states on file
- AL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama