NPI 1811765126
Jordan Elizabeth Hicks
Practice location
- Address
- 12225 Pulaski Ave, Fort Leonard Wood, MO 65473-1972
- Phone
- (573) 842-2650
Registered specialties
Speech-Language Assistant
Primary
Registry record
- NPI
- 1811765126
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Dec 2023
- Record last updated
- 15 Dec 2023
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.