Jessica Lynn Hicks
NPI #1164923868 in Yelm, Washington
Provider Information
- NPI Number
- 1164923868
- Entity Type
- Individual
- Name
- Jessica Lynn Hicks
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Feb 27, 2018
- Last Updated
- Feb 27, 2018
Practice Location
- Address
- 107 1ST ST N
- City
- Yelm
- State
- Washington
- ZIP Code
- 98597-7718
- Phone
- (360) 458-1900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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