Individual
JENNA DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 WESTSIDE DR NW STE 306, CLEVELAND, TN 37312-3699
(423) 473-0726
Mailing address
6130 SHALLOWFORD RD STE 101, CHATTANOOGA, TN 37421-7222
(423) 664-4635
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
30120
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/26/2020
Last updated
03/04/2025
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