Individual
ALEXIS NICOLE DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15 TUFTS ST, BOSTON, MA 02129-2711
(857) 238-1100
Mailing address
15 TUFTS ST, BOSTON, MA 02129-2711
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN2337324
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2337324
MA
Other
Enumeration date
06/09/2021
Last updated
07/06/2022
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