JACQUELINE HICKS RN NPI 1639929417

NPI Information

  • NPI: 1639929417
  • Provider Name: JACQUELINE HICKS, RN
  • Classification: Registered Nurse - 163WA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 448 ADAMS AVE
    CLARKSDALE, MS
    ZIP 38614
  • Phone: (662) 645-9705

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NPI Details

Jacqueline Hicks, RN is an addiction (substance use disorder) registered nurse in Clarksdale, MS. Jacqueline Hicks, RN NPI is 1639929417. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

448 ADAMS AVE
CLARKSDALE, MS
ZIP 38614-908
Phone: (662) 645-9705

The enumeration date for this NPI number is 3/25/2024 and was last updated on 3/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse883789MISSISSIPPINo
2163WA0400XRegistered NurseAddiction (Substance Use Disorder)883789MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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