Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS TINA MARIE HICKEY
Active Sole ProprietorMISS TINA MARIE HICKEY is a Early Intervention Provider Agency healthcare provider located in JACKSONVILLE, Illinois. NPI 1457649014 is currently active in the NPPES registry. Verify at CMS.
Early Intervention Provider Agency · JACKSONVILLE, IL
Registration Details
- NPI Number
- 1457649014
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 18, 2011 (15.082987300444 yrs)
- Last Updated
- Jul 18, 2011
- Sole Proprietor
- Yes
Practice Information
- Address
-
647 S PRAIRIE STJACKSONVILLE, IL, 626502870Browse IL providers · Browse ZIP 62650
- Phone
- 2172455095
- Fax
- 2172455095
- Primary Specialty
-
Early Intervention Provider Agency
252Y00000X
Other Early Intervention Provider Agency Providers in JACKSONVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| RACHAEL RENEE DEAN | DTV | 1639687916 |
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.