Individual
JANET R DICKMANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
117 SUNNYBROOK RD, RALEIGH, NC 27610-1827
(919) 334-3900
(919) 250-9280
Mailing address
4420 LAKE BOONE TRL STE 200, RALEIGH, NC 27607-7505
(919) 784-6818
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
900199
NC
363LA2200X
Adult Health Nurse Practitioner
900199
NC
Other
Enumeration date
08/19/2006
Last updated
03/31/2021
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