Dickens, Michelle R.

Dickens, Michelle R. is an individual health care provider with primary practice located at 927 E Wayside Pl , Springfield MO 65807-5357. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Prevention Professional, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Dickens, Michelle R. can be contacted via phone (000) 000-0000.

Contact Information

Primary practice address
927 E Wayside Pl Springfield MO 65807-5357
Phone: (000) 000-0000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prevention Professional 405300000X 127598 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 127598 Missouri

Profile Details

NPI number 1861506610
LBN Legal business name Dickens, Michelle R.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Apr 18th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861506610 NPPES
Missouri MEDICAID 1861506610
Missouri MEDICAID 420749509

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