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Devon M Hicks
Licensed Practical Nurse in San Bernardino, California
NPI 1700097516

Devon M Hicks is a Licensed Practical Nurse based in San Bernardino, CA. Devon M Hicks practices in San Bernardino, CA. The NPI Number for Devon M Hicks is 1700097516 and holds a License No. RW0767 (California).

The current practice location address for Devon M Hicks is 423 Mackay Dr, San Bernardino, CA and can be reached out via phone at 909-383-1073 and via fax at 909-383-1456.

Location: 423 Mackay Dr, San Bernardino, CA, 92408-3230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700097516
Provider Name
Devon M Hicks
Credential
Provider Entity Type
Individual
Gender
Female
Address
423 Mackay Dr, San Bernardino, CA, 92408-3230
Phone Number
909-383-1073
Fax Number
909-383-1456
Provider Enumeration Date
05/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5155 01 CA SIMON STAFF NUMBER
institution
Provider Business Practice Location Address Details
Address
423 Mackay Dr
City
San Bernardino
State
California
Zip
92408-3230
Phone Number
909-383-1073
Fax Number
909-383-1456
person
Provider Business Mailing Address Details
Address
423 Mackay Dr
City
San Bernardino
State
California
Zip
92408-3230
Phone Number
909-383-1073
Fax Number
909-383-1456
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
VN246830 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
RW0767 (California)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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