Dickison, Tracy Lynn

Dickison, Tracy Lynn is an individual health care provider with primary practice located at 400 E 3Rd St Essentia Health Duluth Clinic, Duluth MN 55805. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Dickison, Tracy Lynn can be contacted via phone (218) 786-8364.

Contact Information

Primary practice address
400 E 3Rd St Essentia Health Duluth Clinic Duluth MN 55805
Phone: (218) 786-8364
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X R161111-3 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X CNS0448 Minnesota

Profile Details

NPI number 1225376338
LBN Legal business name Dickison, Tracy Lynn
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2013
Last updated Jun 14th, 2018 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1225376338 NPPES
Minnesota MEDICAID 1225376338
Minnesota MEDICAID 1225376338

Popular Providers