Hicks, Jonathon Blake

Hicks, Jonathon Blake is an individual health care provider with primary practice located at 1530 Lone Oak Rd Ste 345 , Paducah KY 42003-7901. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Hicks, Jonathon Blake can be contacted via phone (270) 444-2250.

Contact Information

Primary practice address
1530 Lone Oak Rd Ste 345 Paducah KY 42003-7901
Phone: (270) 444-2250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 3015209 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3015209 Kentucky

Profile Details

NPI number 1215535919
LBN Legal business name Hicks, Jonathon Blake
Credentials DNP, APRN, PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2020
Last updated Jul 3rd, 2024 - 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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