Hicks, Jane A
Hicks, Jane A is an individual health care provider with primary practice located at 8888 Ladue Rd Ste 100, Saint Louis MO 63124-2326. 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, Jane A can be contacted via phone (314) 862-4050.Contact Information
Primary practice address
8888 Ladue Rd Ste 100
Saint Louis MO 63124-2326
Phone: (314) 862-4050
Fax: (314) 862-1141
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 073796 | Missouri |
Profile Details
| NPI number | 1780997676 |
|---|---|
| LBN Legal business name | Hicks, Jane A |
| Credentials | Pediatric Nurse Practitioner (PNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2010 |
| Last updated | Apr 25th, 2024 - about 8 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780997676 | NPPES |
| Missouri | MEDICAID | 428722623 |
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