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