Individual
JESSALYN DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2508 XENIA ST, PLAINVIEW, TX 79072-1818
(806) 291-5170
(806) 291-5171
Mailing address
2215 NASHVILLE AVE, LUBBOCK, TX 79410-1105
(806) 725-5844
(806) 723-6532
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0126001898
VA
363A00000X
Physician Assistant
Primary
PA12907
TX
Other
Enumeration date
01/29/2015
Last updated
06/27/2019
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