Individual
COURTNEY RENEE DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, CDCES
Contact information
Practice address
2075 GLENN MITCHELL DR STE 500, VIRGINIA BEACH, VA 23456-0179
(757) 689-5104
(757) 689-2717
Mailing address
2075 GLENN MITCHELL DR STE 500, VIRGINIA BEACH, VA 23456-0179
(757) 689-5104
(757) 689-2717
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
0001256561
VA
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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