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

Jordan Hicks, ATC, CSCS

Individual provider Athletic Trainer · NPI 1922771187

Jordan Hicks, ATC, CSCS is an Athletic Trainer in Cannon AFB, New Mexico. Licensed in Arizona. Registered with an NPI since 2021.

Licensed in
AZ
In the registry since
2021
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

27TH Special Operations Medical Group 224 W D.l Ingram Ave Bldg 1408
Cannon AFB, NM 88103
Phone: (575) 784-2778
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence ATR-100065 (AZ)

Record details

NPI number1922771187
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , CSCS
Sole proprietorNo
NPI enumeratedJuly 26, 2021
Last updated in NPPESOctober 24, 2025
Certification dateOctober 24, 2025

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