Individual
EVONNE A HICKOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R19781
ND
363LP2300X
Primary Care Nurse Practitioner
Primary
R19781
ND
Other
Enumeration date
06/25/2014
Last updated
09/23/2025
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