Search › Mississippi › 163WA0400X
Jacqueline Hicks, RN
NPI 1639929417 · on the registry since 2024 · sole proprietor
Practice
- Address
- 448 Adams Ave
Clarksdale, MS 38614 - Phone
- (662) 645-9705
Registry record
- Primary taxonomy
- 163WA0400X
163WA0400X
- Also registered as
- 163W00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-03-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi