TARA HICKS RN
NPI 1124774831
Registered Nurse in Hattiesburg, MS

Q: What is Tara Hicks's NPI number?

The NPI number for Tara Hicks is 1124774831. It was assigned to this individual provider in the NPPES registry on February 22, 2022.

Q: What is Tara Hicks's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Tara Hicks was last updated on February 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 22, 2022

110 PATTON AVE, HATTIESBURG, MS 39401(601) 582-1111(605) 450-0765 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tara Hicks Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARA HICKS RN (NPI 1124774831) is an individual registered nurse in Hattiesburg, Mississippi, licensed in Mississippi (R861341) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1124774831

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameTARA HICKSCredential: RN

Location Address110 PATTON AVEHattiesburg, MS 39401-6155

Mailing AddressPo Box 18679Hattiesburg, MS 39404-8679 · (601) 705-1901 · Fax (601) 705-1952

Phone(601) 582-1111

Fax(605) 450-0765

Sole ProprietorNo

Enumeration DateFebruary 22, 2022

NPPES CertifiedFebruary 22, 2022

✔ NPI 1124774831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in MS · R861341

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

110 PATTON AVE, Hattiesburg, MS 39401

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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