Hicks, Jamie L

Hicks, Jamie L is an individual health care provider with primary practice located at 1004 21St St Unit 2 , Milford IA 51351-7421. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Hicks, Jamie L can be contacted via phone (712) 338-6220.

Contact Information

Primary practice address
1004 21St St Unit 2 Milford IA 51351-7421
Phone: (712) 338-6220
Fax: (712) 338-6221
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X A100828 Iowa

Profile Details

NPI number 1306843818
LBN Legal business name Hicks, Jamie L
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jul 14th, 2016 - about 9 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1306843818 NPPES
Minnesota MEDICAID 797682800

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