Heather Nicole Dickerson, FNP-C
Nurse Practitioner, Family in Newburgh, IN. Individual provider (NPI-1).
NPI number1346853413
StatusActive
Last updated in NPPESSep 22, 2020
Details
- NPI
- 1346853413
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Heather Nicole Dickerson
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 28, 2020
- Certification date
- Sep 22, 2020
- Last updated
- Sep 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 71010398A | IN | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
8211 W State Route 66 Ste ANewburgh, IN 47630-2534
Phone 812-490-0463 · Fax 877-513-8132
Mailing address
8112 Obrian BlvdNewburgh, IN 47630-8939
Phone 618-553-2718
Other practice locations
2101 N Green River Rd Ste 1
Evansville, IN 47715-2942
Evansville, IN 47715-2942
Phone 812-901-5770 · Fax 877-748-1758
710 S Green River Rd Ste 1
Evansville, IN 47715-4104
Evansville, IN 47715-4104
Phone 812-901-5780 · Fax 877-358-9237
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