| Doctor Name: | EVONNE A HICKOK |
| NPI Number: | 1013322387 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | R19781 |
| Business Practice Address: | 1321 W Dakota Pkwy Williston, ND - 588013807 |
| Business Phone Number: | 7015727711 |
| Business Fax Number: | 7015722283 |
| Mailing Address: | Po Box 5010, MINOT |
| State: | ND |
| Postal Code: | 587025010 |
| Phone Number: | 7018575650 |
| Fax Number: | 7018575031 |
| NPI Enumeration Date: | 06/25/2014 |
| NPI Last Update Date: | 06/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R19781 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |