Jordan Hickman, PA-C
NPI #1801211123 in Ellsworth Afb, South Dakota
Provider Information
- NPI Number
- 1801211123
- Entity Type
- Individual
- Name
- Jordan Hickman, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Feb 24, 2014
- Last Updated
- May 21, 2021
Practice Location
- Address
- 2900 DOOLITTLE DR
- City
- Ellsworth Afb
- State
- South Dakota
- ZIP Code
- 57706-4821
- Phone
- (605) 675-1000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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