Individual
JACQUELINE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
284 HIGHWAY 641 N, CAMDEN, TN 38320-1350
(731) 213-2446
(731) 213-2447
Mailing address
284 HIGHWAY 641 N, CAMDEN, TN 38320-1350
(731) 213-2446
(731) 213-2447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0000023945
TN
363LF0000X
Family Nurse Practitioner
23945
TN
Other
Enumeration date
03/26/2018
Last updated
11/23/2020
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