Hickson, Jacob Wayne

Hickson, Jacob Wayne is an individual health care provider with primary practice located at 2112 New Hampshire Ave Nw Apt 1007 , Washington DC 20009-6530. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Hickson, Jacob Wayne can be contacted via phone (601) 422-9537.

Contact Information

Primary practice address
2112 New Hampshire Ave Nw Apt 1007 Washington DC 20009-6530
Phone: (601) 422-9537
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN1036244 District of Columbia

Profile Details

NPI number 1609453497
LBN Legal business name Hickson, Jacob Wayne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2021
Last updated Mar 26th, 2021 - about 4 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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