| Jacqueline Hicks, RN | |
|
448 Adams Ave, Clarksdale, MS 38614-4908 | |
| (662) 645-9705 | |
| Not Available |
| Full Name | Jacqueline Hicks |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Addiction (substance Use Disorder) |
| Location | 448 Adams Ave, Clarksdale, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639929417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 883789 (Mississippi) | Secondary |
| 163WA0400X | Registered Nurse - Addiction (substance Use Disorder) | 883789 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Hicks, RN Po Box 755, Clarksdale, MS 38614-0755 Ph: (662) 645-9705 | Jacqueline Hicks, RN 448 Adams Ave, Clarksdale, MS 38614-4908 Ph: (662) 645-9705 |
Miss Melanie Johnson, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2560 Simmons Rd Apt A, Clarksdale, MS 38614 Phone: 662-561-6392 | |
Keena Rose Owen, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2139 8th St, Clarksdale, MS 38614 Phone: 901-649-1123 | |
Mrs. Jeanette Ratliff, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 800 Ohio Ave, Clarksdale, MS 38614 Phone: 662-483-1079 Fax: 662-627-3629 |