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MARJERNELL HICKMAN AGPCNP
NPI 1316753981
Nurse Practitioner - Primary Care in San Jose, CA

Active since December 09, 2024
2498 STEVENS CREEK BLVD, SAN JOSE, CA 95128(408) 998-5400(408) 998-5414 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marjernell Hickman Agpcnp NPPES

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

MARJERNELL HICKMAN AGPCNP (NPI 1316753981) is an individual primary care provider in San Jose, California, licensed in California (95032891) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1316753981
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMARJERNELL HICKMANCredential: AGPCNP
Location Address2498 STEVENS CREEK BLVDSan Jose, CA 95128-1652
Mailing Address225 Pamela Dr Apt 16Mountain View, CA 94040-3235 · (803) 360-1268
Phone(408) 998-5400
Fax(408) 998-5414
Sole ProprietorNo
Enumeration DateDecember 9, 2024
NPPES CertifiedDecember 8, 2024
✔ NPI 1316753981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CA · 95032891
2498 STEVENS CREEK BLVD, San Jose, CA 95128
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLEMENTINE S ODAMTTEN NP
Family Medicine
2498 STEVENS CREEK BLVD
SAN JOSE, CA 95128
Santa Clara County (408) 998-5400
HORIZON MEDICAL CENTER
Family Medicine
2498 STEVENS CREEK BLVD
SAN JOSE, CA 95128
Santa Clara County (408) 356-1111
SUZANNE MAYE APRN
Nurse Practitioner
2498 STEVENS CREEK BLVD
SAN JOSE, CA 95128
Santa Clara County (408) 998-5400

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 Marjernell Hickman's NPI number?

The NPI number for Marjernell Hickman is 1316753981. It was assigned to this individual provider in the NPPES registry on December 9, 2024.

Where is Marjernell Hickman located?

Marjernell Hickman practices at 2498 Stevens Creek Blvd, San Jose, CA 95128. The listed phone number is (408) 998-5400.

What is Marjernell Hickman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Marjernell Hickman was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.