Dickerson, Jolene M.
Dickerson, Jolene M. is an individual health care provider with primary practice located at Nemours Pediatrics Milford 703 N. Dupont Highway, Milford DE 19963-1003. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Dickerson, Jolene M. can be contacted via phone (302) 422-4559.Contact Information
Primary practice address
Nemours Pediatrics Milford 703 N. Dupont Highway
Milford DE 19963-1003
Phone: (302) 422-4559
Fax: (302) 422-4082
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | LJ0000236 | Delaware |
Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | LJ0000236 | Delaware |
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care | 363LN0005X | LJ0000236 | Delaware |
Profile Details
NPI number | 1104945344 |
---|---|
LBN Legal business name | Dickerson, Jolene M. |
Credentials | Advanced Practice Nurse (APN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 28th, 2007 |
Last updated | Sep 14th, 2011 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104945344 | NPPES |
New Jersey | MEDICAID | 0127787 | |
New Jersey | MEDICAID | 4129831 |
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