Individual
JESSICA TILLEY HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
632 SPRINGDALE RD, STATESVILLE, NC 28677-3432
(704) 657-6367
Mailing address
632 SPRINGDALE RD, STATESVILLE, NC 28677-3432
(704) 657-6367
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
253623
NC
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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