Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN HICKMAN, PA-C
ActiveJORDAN HICKMAN, PA-C is a Physician Assistant healthcare provider located in ELLSWORTH AFB, South Dakota. NPI 1801211123 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ELLSWORTH AFB, SD
Registration Details
- NPI Number
- 1801211123
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 24, 2014 (12.452290254653 yrs)
- Last Updated
- May 21, 2021
Practice Information
- Address
-
2900 DOOLITTLE DRELLSWORTH AFB, SD, 577064821Browse SD providers · Browse ZIP 57706
- Phone
- 6056751000
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in ELLSWORTH AFB, SD
| Name | Credential | NPI |
|---|---|---|
| BLAKE T GREENFIELD | PA-C | 1578501326 |
| AUDREY MCREAVY | PA-C | 1407868854 |
| JOSHUA R PAULL | PA-C | 1750614038 |
| MICHAEL J VADOVSKY | PA | 1104337450 |
| JOCELIN P CARTIER | — | 1922744663 |
| SHANNON BRITTANY KIPERASH | PA-C | 1417728973 |
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.