Individual
JAMIE L HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1004 21ST ST UNIT 2, MILFORD, IA 51351-7421
(712) 338-6220
(712) 338-6221
Mailing address
1004 21ST ST UNIT 2, PO BOX 208, MILFORD, IA 51351-7421
(712) 338-6220
(712) 338-6221
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
A100828
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
797682800
—
MN
Enumeration date
06/30/2005
Last updated
07/14/2016
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