Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE HICKS, RN
Active Sole ProprietorJACQUELINE HICKS, RN is a Nurse Anesthetist, Certified healthcare provider located in CLARKSDALE, Mississippi. NPI 1639929417 is currently active in the NPPES registry. Verify at CMS.
Nurse Anesthetist, Certified · CLARKSDALE, MS
Registration Details
- NPI Number
- 1639929417
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 25, 2024 (2.4328458652883 yrs)
- Last Updated
- Mar 25, 2024
- Licenses
-
883789 (MS)883789 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
448 ADAMS AVECLARKSDALE, MS, 386144908Browse MS providers · Browse ZIP 38614
- Phone
- 6626459705
- Primary Specialty
-
Nurse Anesthetist, Certified
163WA0400X
- Additional Specialty
- Nurse Anesthetist, Certified
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.