Individual provider · Type 1 NPI

Jacob Wayne Hickson

Acute Care Nurse Practitioner · Washington, DC

NPI number 1609453497 Active

Practice location

2112 New Hampshire Ave NW Apt 1007
Washington, DC 20009-6530

Call (601) 422-9537 Map

Other practice locations

  • 3800 Reservoir Rd NW, Washington, DC 20007-2113 · (601) 422-9537

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XRN1036244 (DC)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1609453497

Jacob Wayne Hickson's National Provider Identifier is 1609453497, issued on Mar 26, 2021. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Washington, DC. The record was last updated on Mar 26, 2021.