Provider Demographics
NPI:1114711132
Name:HICKS, MORGAN W (BSN, RN)
Entity type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:W
Last Name:HICKS
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:MISS
Other - First Name:MORGAN
Other - Middle Name:W
Other - Last Name:LONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:5834 KOENIG ISLAND PL
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-7549
Mailing Address - Country:US
Mailing Address - Phone:740-390-1883
Mailing Address - Fax:
Practice Address - Street 1:500 S CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-8971
Practice Address - Country:US
Practice Address - Phone:740-390-1883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH393755163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse