James Davin Dickerson in Council Bluffs - Psychiatric/mental Health
James Davin Dickerson - NPI 1801839444
James Davin Dickerson is a Psychiatric/mental Health in Council Bluffs, Iowa. James Davin Dickerson practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for James Davin Dickerson is 1801839444. The last update date is 2007-07-08.
James Davin Dickerson's current location address is 300 W Broadway, Council Bluffs, Iowa. You can contact this provider via phone number 7122567511. The mailing address for James Davin Dickerson is 300 W Broadway, Council Bluffs, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Davin Dickerson |
|---|---|
| Address | 300 W Broadway, Council Bluffs, Iowa |
| Phone Number | 7122567511 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1801839444 |
|---|---|
| Provider Enumeration Date | 2006-06-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 300 W Broadway |
|---|---|
| City | Council Bluffs |
| State | Iowa (IA) |
| Post Code | 515039045 |
| Phone Number | 7122567511 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health |
|---|---|
| Taxonomy | 363Lp0808X |
| Licence No | A108066 |
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Definition: An advanced practice registered nurse expert in providing psychiatric and mental healthcare services. |
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What is the unique 10-digit identification code assigned to James Davin Dickerson by the Centers for Medicare & Medicaid Services?
The James Davin Dickerson has been issued the NPI (National Provider Identifier) 1801839444, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the James Davin Dickerson located?
The James Davin Dickerson is located at 300 W Broadway, Council Bluffs, IA 515039045.
What is James Davin Dickerson's specialized field of practice, and what is the corresponding taxonomy classification code?
The James Davin Dickerson's area of specialization is Psychiatric/mental Health, and the corresponding taxonomy code that categorizes this field of practice is 363Lp0808X.
When was the James Davin Dickerson's 1801839444 issued?
The James Davin Dickerson's 1801839444 was issued on 2006-06-13.
When was the information related to James Davin Dickerson most recently updated or refreshed?
The details pertaining to the James Davin Dickerson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY