Individual
CONNIE GAIL DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
208 S MAIN ST, FRANKLIN, KY 42134-2116
(270) 781-6477
(270) 647-6479
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 781-6477
(270) 647-6479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007222
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100187890
—
KY
Enumeration date
12/01/2011
Last updated
07/21/2022
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