Individual provider · Type 1 NPI

Xaquita Wicks, FNP-C, MSN, BSN, RN

Family Nurse Practitioner · Dallas, TX

NPI number 1790214989 Active

Practice location

2922B Mlk Jr Blvd
Dallas, TX 75215-2321

Call (214) 708-2739 Map

Mailing address

1759 Broad Park Cir S Ste 113
Mansfield, TX 76063-7836

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1106498 (TX)
General Practice Registered Nurse 163WG0000X847794 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1790214989

Xaquita Wicks, FNP-C, MSN, BSN, RN's National Provider Identifier is 1790214989, issued on Jun 9, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dallas, TX. The record was last updated on Jan 12, 2023.