Individual
JENNIFER LYNN HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
427 S BERNARD ST, SPOKANE, WA 99204-2509
(509) 456-8150
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
(509) 342-3758
(509) 342-3761
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA10004824
WA
363LF0000X
Family Nurse Practitioner
Primary
AP30006747
WA
363LF0000X
Family Nurse Practitioner
NP-591A
ID
Other
Enumeration date
03/03/2009
Last updated
08/18/2017
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