Individual
BETH ANN DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1400 ROCKLEDGE BLVD, ROCKLEDGE, FL 32955-2846
(321) 735-8960
(321) 735-8964
Mailing address
609 FRANKLYN AVE, INDIALANTIC, FL 32903-4603
(321) 503-7689
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11033366
FL
363LF0000X
Family Nurse Practitioner
11033366
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123066100
—
FL
01
—
XA951
HFMG
FL
Enumeration date
06/15/2024
Last updated
04/08/2026
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