Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Hicks, RN

Individual provider Registered Nurse · NPI 1639929417

Jacqueline Hicks, RN is a Registered Nurse in Clarksdale, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2024
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

448 Adams Ave
Clarksdale, MS 38614-4908
Phone: (662) 645-9705
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Registered Nurse (primary) Taxonomy 163WA0400X · Licence 883789 (MS)
Registered Nurse Taxonomy 163W00000X · Licence 883789 (MS)

Record details

NPI number1639929417
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedMarch 25, 2024
Last updated in NPPESMarch 25, 2024
Certification dateMarch 25, 2024
Mailing addressPo Box 755, Clarksdale, MS 38614-0755