Whalio Doctors

NPI 1255949939

Jazz Lesoleil Hicks, NPCNM

Practitioner Advanced Practice Midwife Plymouth, MA

Practice location

Address
46 Obery St STE 200, Plymouth, MA 02360-2237
Phone
(085) 830-6116

Registered specialties (2)

Advanced Practice Midwife Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence RN2309018 (MA)
Women's Health Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LW0102X Licence 104674984 (MA)

Registry record

NPI
1255949939
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 Jul 2020
Record last updated
27 Nov 2024

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.