Individual
MRS. JAMIE MARIE FICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
700 HIGH ST, WILLIAMSPORT, PA 17701-3100
(570) 321-2125
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP013808
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
313248F6K
MEDICARE PTAN
PA
Enumeration date
09/04/2013
Last updated
08/10/2021
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