Individual
JENNA HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3507 LEE BLVD STE 107, LEHIGH ACRES, FL 33971-1303
(239) 368-8071
(239) 368-8074
Mailing address
3507 LEE BLVD STE 107, LEHIGH ACRES, FL 33971-1303
(239) 368-8071
(239) 368-8074
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9117214
FL
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118763100
—
FL
Enumeration date
05/11/2023
Last updated
03/04/2025
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