Individual provider · Type 1 NPI

Ian Jackson Hicks, RN

Student in an Organized Health Care Education/Training Program · Kingsport, TN

NPI number 1215895628 Active

Practice location

1279 Catawba St
Kingsport, TN 37660-4557

Call (423) 946-0279 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1215895628

Ian Jackson Hicks, RN's National Provider Identifier is 1215895628, issued on Jan 13, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kingsport, TN. The record was last updated on Jan 14, 2026.