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Organization
DICKERSON WELLNESS
Active
Organization
DICKERSON WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA JOCKLENE EDWARDS AGPCNP-C (NURSE PRACTITIONER/OWNER)
(803) 477-4745
Entity
Organization
Contact information
Practice address
1830 S LAKE DR, BOX 84432, LEXINGTON, SC 29073-9760
(803) 477-4745
(843) 258-4600
Mailing address
1830 S LAKE DR, BOX 84432, LEXINGTON, SC 29073-9760
(803) 477-4745
(843) 258-4600
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Enumeration date
09/08/2026
Last updated
09/08/2026
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