Individual
JENNIFER CAMILLE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3449 N 10TH ST, ABILENE, TX 79603
(325) 437-8620
(325) 437-8695
Mailing address
PO BOX 5409, ABILENE, TX 79608-5409
(325) 437-8620
(325) 437-8695
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP119403
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP119403
FAMILY NURSE PRACTITIONER
TX
Enumeration date
11/11/2010
Last updated
10/28/2019
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