Individual
JASMINE HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MHA, IBCLC
Contact information
Practice address
1206 CALDER DR, INDIAN TRAIL, NC 28079-5822
(980) 246-3329
Mailing address
1206 CALDER DR, INDIAN TRAIL, NC 28079-5822
(980) 246-3329
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
242060
NC
Other
Enumeration date
07/22/2026
Last updated
07/22/2026
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