Kristen Lynne Hickok, FNP-BC
Nurse Practitioner, Family in Rancho Mirage, CA. Individual provider (NPI-1).
NPI number1497380992
StatusActive
Last updated in NPPESMar 4, 2026
Details
- NPI
- 1497380992
- Entity type
- Individual (NPI-1)
- Name
- Miss Kristen Lynne Hickok
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 5, 2020
- Certification date
- Mar 4, 2026
- Last updated
- Mar 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95013946 | CA | Yes |
Practice location
36101 Bob Hope Dr Ste ARancho Mirage, CA 92270-2001
Phone 760-321-1315 · Fax 760-321-1094
Mailing address
36101 Bob Hope Dr Ste ARancho Mirage, CA 92270-2001
Phone 760-321-1315 · Fax 760-321-1094
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