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General NPI Number Information
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NPI Number | 1871003608
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Entity Type | Individual
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Provider Name | JAMI LYNN HICKS APRN, CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 10/06/2017
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 1375 N DICKINSON DR
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City | RUSK
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State | TX
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Zip | 75785-1051
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Country | US
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Telephone | 903-683-0093
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Fax | 903-683-0069
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Provider Business Mailing Address
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Address Line | 1375 N DICKINSON DR
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City | RUSK
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State | TX
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Zip | 75785-1051
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Country | US
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Telephone | 903-683-0093
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Fax | 903-683-0069
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 20173207
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License Number State | TX
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