Individual
BETSY DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1821 HILLANDALE RD STE 24A, DURHAM, NC 27705-2671
(919) 383-4355
Mailing address
102 CAMBRIDGE WAY, OXFORD, NC 27565-9110
(919) 691-0348
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F01191458
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F01191458
AANP CERTIFICATION
NC
Enumeration date
01/28/2019
Last updated
01/28/2019
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