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Individual

MS. JEANNE K HICKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
GNP

Contact information

Practice address
632 NORTH AVE, BATTLE CREEK, MI 49017-3249
(269) 969-6145
(269) 969-6133
Mailing address
632 NORTH AVENUE, BATTLE CREEK, MI 49017
(269) 969-6145
(269) 969-6133

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
JH064997
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
JH064997
LICENSE
MI
Enumeration date
08/03/2006
Last updated
07/08/2007
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