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

Mrs. Lacy Hicks, CPNP

Individual provider Pediatric Cardiology Physician · NPI 1396465621

Mrs. Lacy Hicks, CPNP is a Pediatric Cardiology Physician in Johnson City, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2022
What do these letters mean?
CPNP — Certified Pediatric Nurse Practitioner
A nurse practitioner certified in paediatrics.

See every abbreviation used in this directory →

Practice location Address checks out

2312 Knob Creek Rd Ste 208
Johnson City, TN 37604-2367
Phone: (423) 610-1099
Fax: (423) 246-4300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X · Licence 1841362555 (TN)

Record details

NPI number1396465621
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP
Sole proprietorYes
NPI enumeratedAugust 29, 2022
Last updated in NPPESSeptember 4, 2023
Certification dateSeptember 4, 2023
Mailing address2312 Knob Creek Rd Ste 208, Johnson City, TN 37604-2367

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