Dr. Randi Lynn Ballard-Dickerson, DNP, FNP-C
Nurse Practitioner, Family in Flint, MI. Individual provider (NPI-1).
NPI number1164982229
StatusActive
Last updated in NPPESMar 23, 2019
Details
- NPI
- 1164982229
- Entity type
- Individual (NPI-1)
- Name
- Dr. Randi Lynn Ballard-Dickerson
- Credential
- DNP, FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 23, 2019
- Last updated
- Mar 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 4704289620 | MI | Yes |
Practice location
1140 S Linden Rd Bldg AFlint, MI 48532-3437
Phone 810-732-3180
Mailing address
1140 S Linden Rd Bldg AFlint, MI 48532-3437
Phone 810-732-3180
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