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NPI Code Detail

MEDICARE: JOANN HICKS

MEDICARE: JOANN HICKS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1372500000XChore Provider

General Provider Information

NPI Number : 1821803933
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANN HICKS
Provider Business Mailing Address
First Line : 2319 N LINCOLN AVE
Second Line :
City : YORK
State : NE
Zip : 68467-1001
Country : US
Telephone Number : 402-362-1444
Fax Number : 402-363-6623
Provider Business Practice Location Address
First Line : 2319 N LINCOLN AVE
Second Line :
City : YORK
State : NE
Zip : 68467-1001
Country : US
Telephone Number : 402-362-1444
Fax Number : 402-363-6623
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2025
Last Update Date : 02/07/2025

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Directions to “ JOANN HICKS ” Practice Location

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