Lisa B Hickman, DNP, APRN, CNM
Advanced Practice Midwife in Rockford, IL. Individual provider (NPI-1).
NPI number1780932244
StatusActive
Last updated in NPPESAug 12, 2025
Details
- NPI
- 1780932244
- Entity type
- Individual (NPI-1)
- Name
- Lisa B Hickman
- Credential
- DNP, APRN, CNM
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 15, 2012
- Certification date
- Aug 12, 2025
- Last updated
- Aug 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 209028449 | IL | Yes |
| 363LW0102X | Nurse Practitioner, Women's Health | 209028449 | IL |
Practice location
621 Roxbury RdRockford, IL 61107-5077
Phone 815-226-1172
Mailing address
621 Roxbury RdRockford, IL 61107-5077
Phone 815-226-1172
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All 22 Advanced Practice Midwife providers in Rockford · All 5,035 providers in Rockford
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