NPI 1023379310

Exurepha Bashawn Hicks, CNA

Practitioner Community Health Worker Pensacola, FL

Practice location

Address: 4214 Idlewood Dr, Pensacola, FL 32506-5825
Phone: (850) 341-0361

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X Licence 61041 (FL)

Other Community Health Worker providers in Florida →

Registry record

NPI: 1023379310
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jun 2012
Record last updated: 3 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.