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
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.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.