Tamara Lynn Hickman
CPNP | Nurse Practitioner - Pediatrics
Northwest Michigan Community Health Agency, 220 W. Garfield Street, Charlevoix
Michigan, 49720
231-547-6523
Tamara Lynn Hickman is a Charlevoix, Michigan based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Tamara Lynn Hickman is 4704113645 for Pediatrics in Michigan. Her current practice location is Northwest Michigan Community Health Agency, 220 W. Garfield Street, Charlevoix. Patients can reach her at 231-547-6523 or can fax her at 231-547-6238. Tamara Lynn Hickman is CPNP with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1699989665.
Tamara Lynn Hickman specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Tamara Lynn Hickman speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Tamara Lynn Hickman |
| Specialization: | Pediatrics Nurse Practitioner (PNP) |
| Gender: | Female |
| Credentials: | CPNP |
| Practice Address: | Northwest Michigan Community Health Agency, 220 W. Garfield Street, Charlevoix,
Michigan, 49720 |
| Phone: | 231-547-6523 |
| Fax: | 231-547-6238 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1699989665 |
| NPI Enumeration Date: | 09 May, 2007 |
| NPI Last Update On: | 28 Jun, 2016 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tamara Lynn Hickman are as mentioned below.
| License Number | Specialization | State | Status | |
| 4704113645 | Pediatrics | Michigan | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Tamara Lynn Hickman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| TH113645 | Other | Michigan | BCBSM LICENSE NUMBER |
| 4868054 | Medicaid | Michigan | |
| 50-0-A5-1010-0 | Other | Michigan | BCBSM |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Tamara Lynn Hickman
8275 W State St,
Central Lake, Michigan |
| Zip: | 49622-9701 |
| Phone Number: | 231-544-6960 |
Patients can reach Tamara Lynn Hickman at
Northwest Michigan Community Health Agency, 220 W. Garfield Street, Charlevoix, Michigan or can
call to book an appointment on 231-547-6523.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.