Dyson, Jeri Anice

Dyson, Jeri Anice is an individual health care provider with primary practice located at 655 W 8Th St Ufjp Pediatrics, Jacksonville FL 32209-6511. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Dyson, Jeri Anice can be contacted via phone (904) 244-7260.

Contact Information

Primary practice address
655 W 8Th St Ufjp Pediatrics Jacksonville FL 32209-6511
Phone: (904) 244-7260
Fax: (904) 244-4845
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME94306 Florida
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X ME94306 Florida

Profile Details

NPI number 1144298498
LBN Legal business name Dyson, Jeri Anice
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2006
Last updated Apr 1st, 2009 - about 16 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 1144298498 NPPES
Georgia MEDICAID 765179961A
Georgia MEDICAID 2737558-00

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