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NPI Code Detail

MEDICARE: JAMI LYNN HICKS APRN, CPNP-PC

MEDICARE: JAMI LYNN HICKS APRN, CPNP-PC
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
1363L00000XNurse Practitioner20173207TX

General Provider Information

NPI Number : 1871003608
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMI LYNN HICKS APRN, CPNP-PC
Provider Business Mailing Address
First Line : 1375 N DICKINSON DR
Second Line :
City : RUSK
State : TX
Zip : 75785-1051
Country : US
Telephone Number : 903-683-0093
Fax Number : 903-683-0069
Provider Business Practice Location Address
First Line : 1375 N DICKINSON DR
Second Line :
City : RUSK
State : TX
Zip : 75785-1051
Country : US
Telephone Number : 903-683-0093
Fax Number : 903-683-0069
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2017
Last Update Date : 12/04/2025

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