Individual
MS. ALYCIA THOMPSON DICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
1001 MONTICELLO AVE STE 100, NORFOLK, VA 23510-2564
(757) 346-5770
(866) 292-0928
Mailing address
4440 FRUITVILLE RD, SARASOTA, FL 34232-1926
(941) 366-0134
(941) 404-1760
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001143467
VA
363LF0000X
Family Nurse Practitioner
Primary
0024143467
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-032
TRICARE/CHAMPUS
VA
05
—
007785551
—
VA
01
—
93552N
SENTARA OPTIMA
VA
01
—
PAR
USA MANAGED CARE
VA
Enumeration date
02/13/2006
Last updated
10/23/2019
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