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

Mrs. Miranda Hickle, FNP

Individual provider Family Nurse Practitioner · NPI 1528317054

Mrs. Miranda Hickle, FNP is a Nurse Practitioner in Jefferson City, Tennessee. Qualified in 2012, 14 years ago. Practices with Healthstar Physicians PC, a 90-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
14
Licensed in
TN
In the registry since
2012
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1059 E Highway 11 E
Jefferson City, TN 37760-4910
Phone: (865) 375-6005
Fax: (865) 471-0244
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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 16752 (TN)

Record details

NPI number1528317054
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 30, 2012
Last updated in NPPESFebruary 9, 2024
Certification dateFebruary 9, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Healthstar Physicians Pc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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