Provider Demographics
NPI:1831404714
Name:HICKEY, JAMI LEIGH (MD)
Entity type:Individual
Prefix:DR
First Name:JAMI
Middle Name:LEIGH
Last Name:HICKEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:932 OLD US 70 W
Mailing Address - Street 2:
Mailing Address - City:BLACK MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28711-2547
Mailing Address - Country:US
Mailing Address - Phone:828-259-6700
Mailing Address - Fax:828-669-3229
Practice Address - Street 1:932 OLD US 70 W
Practice Address - Street 2:
Practice Address - City:BLACK MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:28711-2547
Practice Address - Country:US
Practice Address - Phone:828-259-6700
Practice Address - Fax:828-669-3229
Is Sole Proprietor?:No
Enumeration Date:2010-08-16
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101256196207P00000X
TN61418207P00000X
NC2016-01187207P00000X
IL036131680207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine