Jacob W. Hickson
Acute Care Nurse Practitioner in Washington, DC(View on Map)
Full Name
Jacob Wayne Hickson
NPI Number
1609453497
NPI Type
Individual Provider
Gender
Male
Enumeration Date
03/26/2021
Specialties
(Taxonomies)Licenses
State
District Of Columbia
License Number
RN1036244
Contact
Information
Purpose
Mailing
Location
Address
2112 NEW HAMPSHIRE AVE NW APT 1007
2112 NEW HAMPSHIRE AVE NW APT 1007
City
Washington
Washington
State
DC
DC
Postal Code
20009-6530
20009-6530
Country
US
US
Telephone Number
N/A
(601) 422-9537
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/26/2021