Individual
DR. JESSICA ANN HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1001 PENNSYLVANIA AVE, OTTUMWA, IA 52501-6427
(641) 684-2530
Mailing address
1001 PENNSYLVANIA AVE, OTTUMWA, IA 52501-6427
(641) 684-2530
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5136
OK
207Q00000X
Family Medicine Physician
Primary
DO-04524
IA
208D00000X
General Practice Physician
0116022988
VA
Other
Enumeration date
06/30/2010
Last updated
06/22/2020
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