Individual
JILL LYNN HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, EMT-P
Contact information
Practice address
420 W 5TH AVE, FLINT, MI 48503-2445
(810) 280-5125
Mailing address
10220 W HERBISON RD, EAGLE, MI 48822-9743
(810) 280-5125
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
4704284360
MI
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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