Individual
JENNIFER L FICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2276 GREEN VALLEY ST, DAYTONA BEACH, FL 32124-3055
(715) 558-3510
Mailing address
2276 GREEN VALLEY ST, DAYTONA BEACH, FL 32124-3055
(715) 558-3510
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
748-023
WI
363A00000X
Physician Assistant
748-23
WI
363A00000X
Physician Assistant
Primary
PA9115186
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123081400
—
FL
01
—
1932182177
BCBSWI
WI
05
—
1932182177
—
WI
05
—
42946900
—
WI
Enumeration date
11/22/2005
Last updated
09/22/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us