Individual provider · Type 1 NPI
Jonathon Blake Hicks, DNP, APRN, PMHNP
Nurse Practitioner · Paducah, KY
Practice location
1530 Lone Oak Rd Ste 345
Paducah, KY 42003-7901
Mailing address
2200 Jefferson Ave Fl 5
Toledo, OH 43604-7102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3015209 (KY) |
| Nurse Practitioner Primary | 363L00000X | 3015209 (KY) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1215535919
Jonathon Blake Hicks, DNP, APRN, PMHNP's National Provider Identifier is 1215535919, issued on Oct 14, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Paducah, KY. The record was last updated on Jul 15, 2025.