Search › South Dakota › 363A00000X
Jordan Hickman, PA-C
NPI 1801211123 · on the registry since 2014
Practice
- Address
- 2900 Doolittle Dr
Ellsworth Afb, SD 57706 - Phone
- (605) 675-1000
- Organisation at this address
- 28th Medgrp-Ellsworth
28th Medgrp-EllsworthInferred from a shared address, not stated in the registry. - Clinicians at this address
- 87
Additional practice sites
- 508 N Wilbur Ave, Walla Walla, WA
- 2564 Queensgate Dr Ste 2580, Richland, WA
- 1705 Se Meadowbrook Blvd, College Place, WA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Sex
- Male
- Record last updated
- 2021-05-21
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 South Dakota