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

Mallory Hicks, LPN-MEDIVCERTIFIED

Individual provider Licensed Practical Nurse · NPI 1033759022

Mallory Hicks, LPN-MEDIVCERTIFIED is a Licensed Practical Nurse in Reynoldsburg, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2020

Practice location Address checks out

3306 Bayspirit Dr
Reynoldsburg, OH 43068-7086
Phone: (614) 330-1074
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence LPN.166790.MEDS-IV (OH)

Record details

NPI number1033759022
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN-MEDIVCERTIFIED
Sole proprietorYes
NPI enumeratedJanuary 8, 2020
Last updated in NPPESJanuary 8, 2020
Certification dateJanuary 8, 2020

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