Dickerson, Laura Rennie

Dickerson, Laura Rennie is an individual health care provider with primary practice located at 350 W Woodrow Wilson Ave , Jackson MS 39213-7681. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Dickerson, Laura Rennie can be contacted via phone (601) 540-0968.

Contact Information

Primary practice address
350 W Woodrow Wilson Ave Jackson MS 39213-7681
Phone: (601) 540-0968
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 899587 Mississippi

Profile Details

NPI number 1326802786
LBN Legal business name Dickerson, Laura Rennie
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2024
Last updated Feb 13th, 2024 - 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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