National Provider Identifier

Jacqueline Hicks-Prophet, RN

Jacqueline Hicks-Prophet, RN is listed in the NPPES registry with a primary specialty of Home Health Registered Nurse in Buffalo, NY and a listed phone number of (716) 833-6615.

NPI 1336449909Buffalo, NYHome Health Registered Nurse

Profile Overview

NPI
1336449909
Provider Type
Individual
Primary Specialty
Home Health Registered Nurse
Enumeration Date
October 28, 2010
Last Updated
October 28, 2010

Practice Location

  • 207 Highgate Ave
  • Buffalo, NY 14215-1023

Phone: (716) 833-6615

Mailing Address

  • 207 Highgate Ave
  • Buffalo, NY 14215

Specialties

  • Home Health Registered Nurse (163WH0200X)
Full Record
NPI
1336449909
Entity Type
Individual
Last Name
Hicks-Prophet
First Name
Jacqueline
Credential
RN
Mailing Street Address
207 Highgate Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215
Mailing Country
US
Mailing Phone
(716) 833-6615
Practice Street Address
207 Highgate Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-1023
Practice Country
US
Practice Phone
(716) 833-6615
Enumeration Date
October 28, 2010
Last Updated
October 28, 2010
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Home Health Registered Nurse (163WH0200X)