Individual
JEANNE ELIZABETH HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, AGCNS-BC, LAC
Contact information
Practice address
711 W 38TH ST STE G2, AUSTIN, TX 78705-1134
(512) 824-0152
Mailing address
1117 SAN AUGUSTINE DR, AUSTIN, TX 78733-2564
(512) 263-5247
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC00718
TX
363L00000X
Nurse Practitioner
Primary
AP134746
TX
364SA2200X
Adult Health Clinical Nurse Specialist
AP134746
TX
Other
Enumeration date
01/23/2012
Last updated
01/09/2023
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