Michelle Lea Dickerson in Jackson - Nurse Practitioner
Michelle Lea Dickerson - NPI 1295926384
Michelle Lea Dickerson is a Nurse Practitioner in Jackson, Mississippi. Michelle Lea Dickerson practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Michelle Lea Dickerson is 1295926384. The last update date is 2017-01-25.
Michelle Lea Dickerson's current location address is 2500 North State Street, Jackson, Mississippi. You can contact this provider via phone number 6018154790 and fax number 6019846870. The mailing address for Michelle Lea Dickerson is 2500 North State Street, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle Lea Dickerson |
|---|---|
| Address | 2500 North State Street, Jackson, Mississippi |
| Phone Number | 6018154790 |
| Fax Number | 6019846870 |
| Sole Proprietor | N |
| Credentials | CFNP |
NPI Number Detail
| NPI Number | 1295926384 |
|---|---|
| Provider Enumeration Date | 2007-08-05 |
| Last Updated Date | 2017-01-25 |
Provider Mailing Address Detail
| Address | 2500 North State Street |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164500 |
| Phone Number | 6018154790 |
| Fax Number | 6019846870 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | R828866 |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6626200 | MS | -- |
Post Comment/ Review Below
What is the Michelle Lea Dickerson's 1295926384?
The Michelle Lea Dickerson's NPI (National Provider Identifier) Number is 1295926384. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Michelle Lea Dickerson's facilities are situated?
The facilities of Michelle Lea Dickerson are physically located at the following address: 2500 North State Street, Jackson, MS, 392164500.
What is Michelle Lea Dickerson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Michelle Lea Dickerson is Nurse Practitioner, and the taxonomy code that classifies this field of practice is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1295926384 to Michelle Lea Dickerson?
The Michelle Lea Dickerson received its 1295926384 assignment from the Centers for Medicare & Medicaid Services on 2007-08-05.
When was the information regarding Michelle Lea Dickerson most recently updated?
The details pertaining to the Michelle Lea Dickerson, including its address, specialty, and other relevant information, were last refreshed on 2017-01-25.
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