Healthcare Provider Details

I. General information

NPI: 1720983000
Provider Name (Legal Business Name): SARAH ELIZABETH HICKMAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3880 SE 901 RD
COLLINS MO
64738-8170
US

IV. Provider business mailing address

3880 SE 901 RD
COLLINS MO
64738-8170
US

V. Phone/Fax

Practice location:
  • Phone: 417-324-2888
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2022019998
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: