Dickerson, Jennifer Marie

Dickerson, Jennifer Marie is an individual health care provider with primary practice located at 4040 Highway 17 Suite 206, Murrells Inlet SC 29576-5098. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dickerson, Jennifer Marie can be contacted via phone (843) 652-8260.

Contact Information

Primary practice address
4040 Highway 17 Suite 206 Murrells Inlet SC 29576-5098
Phone: (843) 652-8260
Fax: (843) 652-8269
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2731 South Carolina

Profile Details

NPI number 1528593233
LBN Legal business name Dickerson, Jennifer Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2017
Last updated May 2nd, 2017 - about 8 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 1528593233 NPPES
South Carolina Other 2731 SC LICENSE

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