Individual provider · NPI-1

Alyson Lee Dickerson, CRNA

Nurse Anesthetist, Certified Registered · Corinth, MS

NPI number1922306935
StatusActive
Last updated in NPPESSep 13, 2021

Details

NPI
1922306935
Entity type
Individual (NPI-1)
Name
Alyson Lee Dickerson
Credential
CRNA
Sex
Female
Sole proprietor
No
Enumeration date
Mar 1, 2011
Certification date
Sep 13, 2021
Last updated
Sep 13, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified RegisteredR869968MSYes

Practice location

611 Alcorn Dr
Anesthesia Department
Corinth, MS 38834-9321

Phone 662-293-1000 · Fax 662-293-4213

Mailing address

611 Alcorn Dr
Anesthesia Department
Corinth, MS 38834-9321

Phone 662-293-1000 · Fax 662-293-4213

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