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Individual

DR. JONATHON BLAKE HICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNP, APRN, PMHNP

Contact information

Practice address
1530 LONE OAK RD STE 345, PADUCAH, KY 42003-7901
(270) 444-2250
Mailing address
2200 JEFFERSON AVE FL 5, TOLEDO, OH 43604-7102

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3015209
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3015209
KY

Other

Enumeration date
10/14/2020
Last updated
07/15/2025
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