Individual
JENNIFER HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAC., LAC.
Contact information
Practice address
116 BROAD ST STE 1, BERLIN, MD 21811-1019
(410) 641-9888
(410) 641-9844
Mailing address
116 BROAD ST STE 1, BERLIN, MD 21811-1019
(410) 641-9888
(410) 641-9844
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U01230
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62156804
BLUECROSS BLUESHIELD
MD
01
—
C366001
CAREFIEST BLUECHOICE
MD
01
—
DW52-0001
CAREFIRST BCBS
MD
Enumeration date
01/05/2008
Last updated
07/23/2026
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