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Individual
CHERI DENISE DICKENSON
Active
Individual
CHERI DENISE DICKENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024166505
VA
363LA2200X
Adult Health Nurse Practitioner
0024166505
VA
364SA2200X
Adult Health Clinical Nurse Specialist
APN00000010969
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33456911
P-TEN 33456911
TN
Enumeration date
10/03/2006
Last updated
12/28/2022
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