Individual
MS. JENNIFER FERN HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
214 N TRYON ST, CHARLOTTE, NC 28202-1078
(980) 465-5154
(704) 348-0810
Mailing address
214 N TRYON ST, CHARLOTTE, NC 28202-1078
(980) 465-5154
(704) 348-0810
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
183927
NC
363L00000X
Nurse Practitioner
Primary
5016225
NC
363LF0000X
Family Nurse Practitioner
5016225
NC
Other
Enumeration date
03/29/2022
Last updated
02/27/2025
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