MR. Jervia Ishum Simon Fickens, ANP

NPI #1437497948 in Lemoore, California

Provider Information

NPI Number
1437497948
Entity Type
Individual
Name
MR. Jervia Ishum Simon Fickens, ANP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Adult Health
Credential
ANP
Enumeration Date
Jan 18, 2013
Last Updated
Jan 18, 2013

Practice Location

Address
NAVAL HOSPITAL LEMOORE
Address 2
937 FRANKLIN AVE
ZIP Code
93246-5004
Phone
(559) 998-4208

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Adult HealthAdult Health

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