Doctor Name: | ERIN DICKERSON |
NPI Number: | 1013330141 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 5631 |
Business Practice Address: | 1920 Kirby Pkwy Ste 202 Germantown, TN - 381383696 |
Business Phone Number: | 9017519997 |
Business Fax Number: | 9017511344 |
Mailing Address: | 1920 Kirby Pkwy, Ste 202 GERMANTOWN |
State: | TN |
Postal Code: | 381383696 |
Phone Number: | 9017519997 |
Fax Number: | 9017511344 |
NPI Enumeration Date: | 01/24/2014 |
NPI Last Update Date: | 01/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SF0001X |
License Number: | 5631 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Family Health |
Taxonomy Definition: |