Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Laura Hickenbottom, NP

Individual provider Neonatal Nurse Practitioner · NPI 1043617665

Laura Hickenbottom, NP is a Neonatal Nurse Practitioner in Urbana, Illinois. Works from 2 locations. Licensed in Illinois and Missouri.

Licensed in
IL, MO
In the registry since
2014
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

611 W Park St Neonatology
Urbana, IL 61801-2500
Phone: (217) 383-3266
Fax: (217) 383-3463
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 415 N 9th St # 4w16, Springfield, IL 62702-5303 — (217) 545-8000

Specialties & licences

Neonatal Nurse Practitioner (primary) Taxonomy 363LN0000X · Licence 209014221 (IL)
Neonatal Nurse Practitioner Taxonomy 363LN0000X · Licence 2014040196 (MO)

Record details

NPI number1043617665
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 25, 2014
Last updated in NPPESDecember 10, 2021
Certification dateDecember 10, 2021

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