Provider Demographics
NPI:1629637525
Name:HICKS-JONES, SHARON MICHELLE
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:MICHELLE
Last Name:HICKS-JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 NEW YORK AVE NE APT 120
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-1951
Mailing Address - Country:US
Mailing Address - Phone:202-845-1966
Mailing Address - Fax:
Practice Address - Street 1:2700 NEW YORK AVE NE APT 120
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-1951
Practice Address - Country:US
Practice Address - Phone:202-845-1966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-13
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician