JENNIFER SUE HICKMAN RN, BSN
NPI 1417485962
Registered Nurse in Portland, OR

Q: What is Jennifer Hickman's NPI number?

The NPI number for Jennifer Hickman is 1417485962. It was assigned to this individual provider in the NPPES registry on May 29, 2017. The provider is also known as Jennifer Sue Siemens Rn, Bsn.

Q: What is Jennifer Hickman's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Hickman was last updated on July 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.

Active since May 29, 2017

30 NE MLK BLVD, PORTLAND, OR 97232(503) 232-1099(503) 232-3854 Get Directions Write a Review

NPPES record last updated: July 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 16, 2020, May 29, 2017 (2 updates tracked since 2017).

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About Jennifer Sue Hickman Rn, Bsn NPPES

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

JENNIFER SUE HICKMAN RN, BSN (NPI 1417485962) is an individual registered nurse in Portland, Oregon, licensed in Oregon (200741420RN) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1417485962

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameJENNIFER SUE HICKMANCredential: RN, BSN

Location Address30 NE MLK BLVDPortland, OR 97232-2941

Mailing Address30 Ne Martin Luther King Jr BlvdPortland, OR 97232-2941 · (503) 232-1099 · Fax (503) 232-3854

Phone(503) 232-1099

Fax(503) 232-3854

Sole ProprietorNo

Enumeration DateMay 29, 2017

Last NPPES UpdateJuly 16, 20202 updates tracked since enumeration

NPPES CertifiedJuly 16, 2020

✔ NPI 1417485962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in OR · 200741420RN

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

30 NE MLK BLVD, Portland, OR 97232

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Other Names 1

Former Name (1)Jennifer Sue Siemens Rn, Bsn

Other Providers at the Same Location NPPES 20

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

MR. TYLER WILLIAM HERNANDEZ KADELL

Case Manager/Care Coordinator