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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JORDAN HICKS, ATC, CSCS

Active

JORDAN HICKS, ATC, CSCS is a Athletic Trainer healthcare provider located in CANNON AFB, New Mexico. NPI 1922771187 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · CANNON AFB, NM

Registration Details

NPI Number
1922771187
Provider Type
Individual
Gender
Female
NPI Issued
Jul 26, 2021 (5.0735113071159 yrs)
Last Updated
Oct 24, 2025
License
ATR-100065 (AZ)

Practice Information

Address
27TH SPECIAL OPERATIONS MEDICAL GROUP
224 W D.L. INGRAM AVE BLDG 1408
CANNON AFB, NM, 88103
Browse NM providers · Browse ZIP 88103
Phone
5757842778
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in CANNON AFB, NM

Name Credential NPI
MR. ADAM HAUSMANN ATC, CSCS 1356768634
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.