NPI 1003630468

Breeana Dickson

Practitioner Nurse Practitioner Hackensack, NJ

Practice location

Address: 2 University Plz STE 204, Hackensack, NJ 07601-6211
Phone: (973) 435-9463
Mailing address: 4 James CT, West Orange, NJ 07052-6201

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 26NJ15187700 (NJ)

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Registry record

NPI: 1003630468
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Nov 2024
Record last updated: 12 Nov 2024

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.