Individual provider · Type 1 NPI

Mary Jane Hicks, LPN

Licensed Practical Nurse · Bronx, NY

NPI number 1205135597 Active

Practice location

2506 Davidson Ave, 5E
Bronx, NY 10468-4258

Call (718) 207-6559 Map

Fax (347) 862-4371

Mailing address

2506 Davidson Ave Apt 5E
Bronx, NY 10468-4261

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	280078-1 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1205135597

Mary Jane Hicks, LPN's National Provider Identifier is 1205135597, issued on Mar 25, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bronx, NY. The record was last updated on Mar 25, 2011.