Jennifer Lynn Hickman, FNP | |
427 S Bernard St, Spokane, WA 99204-2509 | |
(509) 456-8150 | |
Not Available |
Full Name | Jennifer Lynn Hickman |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 427 S Bernard St, Spokane, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952541971 | NPI | - | NPPES |
Entity Name | Multicare Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Lynn Hickman, FNP Po Box 3649, Spokane, WA 99220-3649 Ph: (509) 342-3758 | Jennifer Lynn Hickman, FNP 427 S Bernard St, Spokane, WA 99204-2509 Ph: (509) 456-8150 |
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