Jamika Hicks-Johnson, ARNP

Individual provider Active NPI Family Nurse Practitioner · Key Biscayne, FL

NPI 1699001099 · NPPES record last updated Jun 20, 2014

Key facts

NPI
1699001099
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
ARNP3093822 (FL)
Practice address
726 Crandon Blvd
Key Biscayne, FL 33149-2506
Phone
(866) 389-2775
NPI assigned
Oct 20, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP3093822 FL
Family Nurse Practitioner 363LF0000X ARNP3093822 FL Yes

Addresses

Primary practice location

726 Crandon Blvd
Key Biscayne, FL 33149-2506

Mailing address

726 Crandon Blvd
Key Biscayne, FL 33149-2506

Other identifiers

IdentifierTypeStateIssuer
CS684ZOtherFLMEDICARE
001642100MedicaidFL

Other providers in Key Biscayne, FL

All providers in Key Biscayne, FL · Family Nurse Practitioner in Florida

Sources for this page

Verify at the official NPI Registry.