Individual
JAMIE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
600 SOMERSET AVE, WINDBER, PA 15963-1331
(814) 467-3628
Mailing address
600 SOMERSET AVE, WINDBER, PA 15963-1331
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP019283
PA
Other
Enumeration date
09/19/2018
Last updated
03/20/2019
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