Doctor Name: | JASON DANIEL HYCHE |
NPI Number: | 1992121305 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NURSE PRACTITIONER |
License Number: | 18733 |
Business Practice Address: | 12076 Highway 231 431 N Meridianville, AL - 357591225 |
Business Phone Number: | 2566937070 |
Business Fax Number: | |
Mailing Address: | 1 Hospital Dr Sw, HUNTSVILLE |
State: | AL |
Postal Code: | 358016455 |
Phone Number: | 2568803300 |
Fax Number: | |
NPI Enumeration Date: | 03/10/2014 |
NPI Last Update Date: | 03/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 18733 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |