Individual
SHELBY SLADE DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3275 HIGHWAY 49, COLLINS, MS 39428-3776
(601) 765-6292
Mailing address
45 LIBERTY RD, COLLINS, MS 39428-4653
(601) 517-5251
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
906521
MS
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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