Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 59201 | TN |
N | 208200000X | Surgeon | 59201 | TN |
N | 208600000X | Surgeon | 59201 | TN |
NPI | 1780003871 |
---|---|
Provider Name | Laura Ansley Allen Hickman |
First Address | Nashville, TN 37215-2691 |
Second Address | Nashville, TN 37232-1900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2014 |
Last Update Date | 29/01/2022 |