Individual provider · Type 1 NPI
Jami Lynn Hicks, APRN, CPNP-PC
Pediatric Nurse Practitioner · Rusk, TX
NPI number
1871003608
Active
Practice location
1375 N Dickinson Dr
Rusk, TX 75785-1051
Fax (903) 683-0069
Mailing address
157 Wall St
Tenaha, TX 75974-5413
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 20173207 (TX) |
Pediatric Nurse Practitioner: Definition to come...
About NPI 1871003608
Jami Lynn Hicks, APRN, CPNP-PC's National Provider Identifier is 1871003608, issued on Oct 6, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Rusk, TX. The record was last updated on Aug 7, 2026.