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Individual

JAZZ LESOLEIL HICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP, CNM

Contact information

Practice address
46 OBERY ST STE 200, PLYMOUTH, MA 02360-2237
(085) 830-6116
Mailing address
46 OBERY ST STE 200, PLYMOUTH, MA 02360-2237
(085) 830-6116

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
104674984
MA
367A00000X
Advanced Practice Midwife
Primary
RN2309018
MA

Other

Enumeration date
07/17/2020
Last updated
11/27/2024
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