Individual
DR. JENNIFER M HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
163 FORT EVANS RD NE, LEESBURG, VA 20176-4420
(703) 443-2000
Mailing address
163 FORT EVANS RD NE, LEESBURG, VA 20176-4420
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101249492
VA
207V00000X
Obstetrics & Gynecology Physician
121481
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467581504
—
VA
Enumeration date
03/05/2007
Last updated
07/27/2023
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