Individual
MR. ROBERT BRUCE DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
983 NISSAN DR, SMYRNA, TN 37167
(615) 459-1944
(615) 459-1944
Mailing address
PO BOX 28007, CHATTANOOGA, TN 37424-8007
(615) 830-7078
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
131381
TN
163W00000X
Registered Nurse
666869
CA
163W00000X
Registered Nurse
RN177126
GA
363L00000X
Nurse Practitioner
Primary
201706588NP-PP
OR
363L00000X
Nurse Practitioner
8181
TN
363L00000X
Nurse Practitioner
9316562
FL
363L00000X
Nurse Practitioner
AP60935771
WA
363LA2200X
Adult Health Nurse Practitioner
8181
TN
Other
Enumeration date
05/06/2007
Last updated
07/25/2019
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