Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennivie Shaunette Latham-Hickman, FAMILYNP

Individual provider Family Nurse Practitioner · NPI 1962747071

Jennivie Shaunette Latham-Hickman, FAMILYNP is a Nurse Practitioner in Huntsville, Alabama. Qualified in 2011, 15 years ago. Practices with Fast Pace Medical Clinic PLLC, a 738-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
15
Licensed in
AL
In the registry since
2012
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Practice location Address checks out

6001 Marcus Byers Dr NE
Huntsville, AL 35811-1157
Phone: (256) 864-6656
Fax: (256) 864-6657
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1-098043 (AL)

Record details

NPI number1962747071
Entity typeIndividual (Type 1)
GenderFemale
Credentials FAMILYNP
Sole proprietorNo
NPI enumeratedNovember 29, 2012
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Fast Pace Medical Clinic Pllc — 738 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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