Individual
JESSICA LEA DICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2202 ALPINE AVE, SARASOTA, FL 34239-4114
(941) 685-7077
Mailing address
540 THE RIALTO, VENICE, FL 34285-2900
(941) 486-6927
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11010319
FL
Other
Enumeration date
11/25/2020
Last updated
09/16/2021
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