Individual provider · Type 1 NPI
Jaquana L. Hicks
Non-emergency Medical Transport (VAN) · Fayetteville, NC
NPI number
1114643335
Active
Practice location
1501 Hope Mills Rd
Fayetteville, NC 28304-4220
Mailing address
1501 Hope Mills Rd Ste A
Fayetteville, NC 28304-4220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | None listed |
| Home Health Aide | 374U00000X | None listed |
| Non-emergency Medical Transport (VAN) Primary | 343900000X | 34459848 (NC) |
Non-emergency Medical Transport (VAN): A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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About NPI 1114643335
Jaquana L. Hicks's National Provider Identifier is 1114643335, issued on Oct 19, 2022. The primary taxonomy on file is Non-emergency Medical Transport (VAN) (343900000X), and the practice location is in Fayetteville, NC. The record was last updated on Jun 11, 2025.