Individual
REANNA HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4605 MORSE RD STE 200, GAHANNA, OH 43230-7300
(614) 934-5000
Mailing address
5592 HENSEL WOODS RD, GAHANNA, OH 43230-1809
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
415307
OH
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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