Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JENNIFER ANN HICKMAN, MD
ActiveDR. JENNIFER ANN HICKMAN, MD is a Pain Medicine healthcare provider located in URBANA, Illinois. NPI 1043399967 is currently active in the NPPES registry. Verify at CMS.
Pain Medicine · URBANA, IL
Registration Details
- NPI Number
- 1043399967
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 2, 2006 (19.802192570184 yrs)
- Last Updated
- Oct 2, 2015
- Licenses
-
48920020 (WI)48920 (WI)036138744 (IL)
Practice Information
- Address
-
611 W. PARK ST.URBANA, IL, 618012500Browse IL providers · Browse ZIP 61801
- Phone
- 2173833303
- Fax
- 2173833265
- Primary Specialty
-
Pain Medicine
207LP3000X
- Additional Specialty
- Pain Medicine
- Additional Specialty
- Pain Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.