Individual
MRS. JENNIFER DAWN HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
550 17TH AVE FL 6, SEATTLE, WA 98122-5788
(206) 861-8550
(206) 861-8551
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60184473
WA
363L00000X
Nurse Practitioner
Primary
AP60184682
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093982191
—
WA
Enumeration date
05/08/2008
Last updated
10/07/2020
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