| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SAMANTHA HICKMAN | 1033728035 | 2020-07-26 |
Samantha Hickman [F] graduated in 2020 and primarily specializes in Nurse Practitioner.
Samantha Hickman is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1033728035. Registration indicates Samantha Hickman is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| PECOS ID | 9638599228 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Samantha Hickman APRN |
| Practice Office Address | 448 WILLIE CLARK RD PINEVILLE, LA US |
| Practice Office Telephone | 3187174425 |
| Mailing Address | 448 WILLIE CLARK RD PINEVILLE, LA 71360 US |
| Business Telephone | 3187174425 |
| Code | Practice | License No State |
|---|---|---|
| 363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 213825
LA |