Dickerson, Heather Nicole

Dickerson, Heather Nicole is an sole proprietor health care provider with primary practice located at 8211 W State Route 66 Ste A , Newburgh IN 47630-2534. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Dickerson, Heather Nicole can be contacted via phone (812) 490-0463.

Contact Information

Primary practice address
8211 W State Route 66 Ste A Newburgh IN 47630-2534
Phone: (812) 490-0463
Fax: (877) 513-8132
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71010398A Indiana

Profile Details

NPI number 1346853413
LBN Legal business name Dickerson, Heather Nicole
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2020
Last updated Sep 22nd, 2020 - about 5 years ago

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 1346853413 NPPES
Indiana Other 71010398A IN STATE LICENSE

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