Individual
MS. JANE A HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
8888 LADUE RD, STE 100, SAINT LOUIS, MO 63124-2326
(314) 862-4050
(314) 862-1141
Mailing address
PO BOX 505570, SAINT LOUIS, MO 63150-5570
(314) 862-4050
(314) 862-1141
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
073796
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
428722623
—
MO
Enumeration date
07/20/2010
Last updated
04/25/2024
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