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DR. GLEN C JICKLING M.D.
NPI 1194160242
Psychiatry & Neurology - Neurology in Sacramento, CA

Active since May 02, 2013
2805 50TH ST, RM 2415, MIND INSTITUTE, UNIVERSITY OF CALIFORNIA DAVIS, SACRAMENTO, CA 95817(916) 703-0449 Get Directions Write a Review

NPPES record last updated: May 2, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Glen C Jickling M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GLEN C JICKLING M.D. (NPI 1194160242) is an individual neurology provider in Sacramento, California, licensed in California (A104529) and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1194160242
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. GLEN C JICKLINGCredential: M.D.
Location Address2805 50TH ST, RM 2415, MIND INSTITUTE, UNIVERSITY OF CALIFORNIA DAVISSacramento, CA 95817-2312
Mailing Address2805 50th St, Rm 2415, Mind Institute, University Of California DavisSacramento, CA 95817-2312 · (916) 703-0449
Phone(916) 703-0449
Sole ProprietorNo
Enumeration DateMay 2, 2013
✔ NPI 1194160242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in CA · A104529
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

2805 50TH ST, Sacramento, CA 95817
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen Jickling's NPI number?

The NPI number for Glen Jickling is 1194160242. It was assigned to this individual provider in the NPPES registry on May 2, 2013.

Where is Glen Jickling located?

Glen Jickling practices at 2805 50th St Rm 2415, Mind Institute, University Of California Davis, Sacramento, CA 95817. The listed phone number is (916) 703-0449.

What is Glen Jickling's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Glen Jickling was last updated on May 2, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.