Individual
JENNA HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
171 KEMPSVILLE RD BLDG A, NORFOLK, VA 23502-4700
(757) 668-2334
Mailing address
3349 WOODBURNE DR, VIRGINIA BEACH, VA 23452-5257
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000155
MD
Other
Enumeration date
07/24/2014
Last updated
05/19/2022
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