Individual
CHRISTINE A HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
415 W LANDIS AVE, VINELAND, NJ 08360-8135
(856) 696-5340
Mailing address
1501 OLD BLACK HORSE PIKE APT Z10, BLACKWOOD, NJ 08012-4921
(765) 760-5336
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR22115800
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ01078700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300025601
—
IN
Enumeration date
02/28/2019
Last updated
10/30/2024
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