NPI 1003407248

Deandra Dominique Dickson

Practitioner Nurse's Aide Jacksonville, FL

Practice location

Address: 9145 13th Ave, Jacksonville, FL 32208
Phone: (904) 723-9713

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence 281051 (FL)

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Registry record

NPI: 1003407248
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Jan 2021
Record last updated: 31 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.