Hickman, Lisa B

Hickman, Lisa B is an sole proprietor health care provider with primary practice located at 621 Roxbury Rd , Rockford IL 61107-5077. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Hickman, Lisa B can be contacted via phone (815) 226-1172.

Contact Information

Primary practice address
621 Roxbury Rd Rockford IL 61107-5077
Phone: (815) 226-1172
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 043-110981 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 209028449 Illinois

Profile Details

NPI number 1780932244
LBN Legal business name Hickman, Lisa B
Credentials DNP, APRN, CNM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2012
Last updated Oct 16th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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