Vickie Dickerson
Nurse's Aide in Norfolk, VA. Individual provider (NPI-1).
NPI number1336715424
StatusActive
Last updated in NPPESMay 31, 2021
Details
- NPI
- 1336715424
- Entity type
- Individual (NPI-1)
- Name
- Vickie Dickerson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 31, 2021
- Certification date
- May 31, 2021
- Last updated
- May 31, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | 1401163184 | VA | Yes |
Practice location
2501 Rush StNorfolk, VA 23513-4424
Phone 757-202-8207
Mailing address
2501 Rush StNorfolk, VA 23513-4424
Phone 757-202-8207
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