Chenoa Dickerson, FNP-C
Nurse Practitioner, Family in Rome, GA. Individual provider (NPI-1).
NPI number1063002145
StatusActive
Last updated in NPPESOct 16, 2025
Details
- NPI
- 1063002145
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Chenoa Dickerson
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 22, 2021
- Certification date
- Oct 16, 2025
- Last updated
- Oct 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN-NP248353 | GA | Yes |
| 363LF0000X | Nurse Practitioner, Family | RN248353 | GA |
Practice location
18 Riverbend Dr Sw Ste 118Rome, GA 30161-6019
Phone 706-962-3642
Mailing address
455 Philip Blvd Ste 140Lawrenceville, GA 30046-8768
Phone 706-962-3642
Other practice locations
1504 N Thornton Ave Ste 103
Dalton, GA 30720-8394
Dalton, GA 30720-8394
Phone 706-510-0002
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