Hicks, Jennifer O

Hicks, Jennifer O is an individual health care provider with primary practice located at 276 Nissan Pkwy Building E Suite 100, Canton MS 39046-7006. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Hicks, Jennifer O can be contacted via phone (601) 855-4880.

Contact Information

Primary practice address
276 Nissan Pkwy Building E Suite 100 Canton MS 39046-7006
Phone: (601) 855-4880
Fax: (601) 859-2995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 09855 Mississippi

Profile Details

NPI number 1649231408
LBN Legal business name Hicks, Jennifer O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Sep 17th, 2013 - about 11 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 1649231408 NPPES
Mississippi Other D00992 UPIN
Mississippi MEDICAID 00114331 UPIN

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