Individual
JILLIAN HICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
77 DANIEL WEBSTER HWY, BELMONT, NH 03220-3028
(603) 737-0550
Mailing address
360 US HIGHWAY 1 BYP UNIT 102, PORTSMOUTH, NH 03801-7105
(603) 410-6700
(603) 319-8308
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1654
NH
Other
Enumeration date
07/21/2019
Last updated
11/15/2023
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