Individual
HANNAH DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14546 OLD SAINT AUGUSTINE RD STE 407, JACKSONVILLE, FL 32258-5473
(904) 262-3372
Mailing address
14546 OLD SAINT AUGUSTINE RD STE 407, JACKSONVILLE, FL 32258-5473
(904) 262-3372
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9117949
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/17/2023
Last updated
10/11/2023
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