Whalio Doctors

NPI 1164923868

Jessica Lynn Hicks

Practitioner Licensed Practical Nurse Yelm, WA

Practice location

Address
107 1st St N, Yelm, WA 98597-7718
Phone
(360) 458-1900
Mailing address
PO Box 476, Yelm, WA 98597-0476

Registered specialties

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence LP00042684 (WA)

Registry record

NPI
1164923868
Entity type
Individual
Sex (as registered)
Female
NPI issued
27 Feb 2018
Record last updated
27 Feb 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.