JACOB WAYNE HICKSON
Nurse Practitioner (Acute Care)

Address: 2112 New Hampshire Ave Nw Apt 1007, Washington, DC 20009-6530

JACOB WAYNE HICKSON (NPI# 1609453497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609453497
Entity Type Individual
Full Name JACOB WAYNE HICKSON
Gender Male
Practice Address 2112 New Hampshire Ave Nw Apt 1007
Washington
DC 20009-6530
Practice Telephone 6014229537
Mailing Address 2112 New Hampshire Ave Nw Apt 1007
Washington
DC 20009-6530
Certification Date 2021-03-26
Enumeration Date 2021-03-26
Last Update Date 2021-03-26
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
RN1036244 DC Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Locations

Address Telephone Number Fax Number
3800 Reservoir Rd Nw, Washington, DC 200072113 6014229537

Office Location

Street Address 2112 NEW HAMPSHIRE AVE NW APT 1007
City WASHINGTON
State DC
Zip Code 20009-6530

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1699360644 Chrishawn Davis Home Health Aide 1414 Curtis Mathews, Apt 306, Washington, DC 20009 2021-03-02
1932724515 Ana Serra Social Worker - Clinical Mary's Center, 2333 Ontario Rd Nw, Washington, DC 20009 2020-06-10
1124596317 Javan Anti Aging and Wellness Institute Clinic/Center 1626 U St Nw, Washington, DC 20009 2018-11-06
1477052272 Shaw Family Dentistry Pllc · U Street Family Dentistry Dentist 1515 U Street Nw, Suite A1 C1, Washington Dc, DC 20009 2018-02-07
1134672520 Margaret Ache Tata Tanwani Home Health Aide 1752 Columbia Rd, North West Washington Dc, North West Washington, DC 20009 2016-08-02
1083214829 Evenly Dc, Pllc Dentist - Orthodontics and Dentofacial Orthopedics 1619 Connecticut Ave Nw, Washington, DC 20009-1013 2020-10-30
1063051951 Susahealth LLC Psychiatry & Neurology - Neurology 1666 Connecticut Ave Nw, Washington, DC 20009-1039 2019-12-26
1538677380 Marianna Csaszar Acupuncturist 1645 Connecticut Ave Nw, Washington, DC 20009-1054 2018-01-15
1932715000 Hannah Rose Rosenstein Massage Therapist 1731 Connecticut Ave Nw, Washington, DC 20009-1108 2020-09-23
1831674241 Megan Kane Occupational Therapist - Physical Rehabilitation 2100 19th St Nw Apt 604, Washington, DC 20009-1338 2018-10-02
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255925848 Brittany Montgomery Nurse Practitioner - Acute Care 3800 Reservoir Rd Nw Fl 4, Washington, DC 20007-2113 2021-02-24
1265020101 Marisa Joy Wiswell Nurse Practitioner - Acute Care 110 Irving St Nw Ste 4b49, Washington, DC 20010-3017 2021-01-06
1255973947 Michael Allen Parsley Nurse Practitioner - Acute Care 110 Irving St Nw # At, Washington, DC 20010-3017 2019-10-14
1659927606 Susan Thornton Oyola Nurse Practitioner - Acute Care 110 Irving St Nw Unit 3ne, Washington, DC 20010-3017 2019-08-15
1770055006 Melanie Dawn Sims Nurse Practitioner - Acute Care 110 Irving St Nw # 4b-42, Washington, DC 20010-3017 2018-12-27
1154840353 Matthew J Hines Nurse Practitioner - Acute Care 400 East Polk Street, Washington, IA 52353-1237 2017-09-19
1588188312 Gwendolyn Jackson Redic Nurse Practitioner - Acute Care 1647 Benning Rd Ne Ste 200, Washington, DC 20002-4570 2017-08-02
1396285680 Jessica Jean Thurn · Jessica Jean Smith Nurse Practitioner - Acute Care 201 I St Ne, Apt. 408, Washington, DC 20002-4449 2017-03-06
1790150688 Polly Rebecca Jackson Nurse Practitioner - Acute Care 4875 N 4 Mile Rd, Washington, MO 63090-3931 2015-12-03
1033583257 Elizabeth Ann Jones Nurse Practitioner - Acute Care 100 Irving St Nw, Washington, DC 20010-3017 2015-11-27
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Competitor

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City WASHINGTON
Zip Code 20009

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.