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

Tecilla Reshawn Hicks

Individual provider Clinical Laboratory Director (Non-physician) · NPI 1043017593

Tecilla Reshawn Hicks is a Clinical Laboratory Director (Non-physician) in Lake City, Florida. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

725 SE Baya Dr
Lake City, FL 32025-6073
Phone: (904) 558-1904
Show map & directions

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

Specialties & licences

Clinical Laboratory Director (Non-physician) (primary) Taxonomy 247ZC0005X

Record details

NPI number1043017593
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 3, 2025
Last updated in NPPESMarch 3, 2025
Certification dateMarch 2, 2025
Mailing address725 Se Baya Dr, Lake City, FL 32025-6073