Individual
HEATHER JEANETTE DICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
201 REMINGTON CT, KINGSPORT, TN 37663-3496
(423) 863-8037
Mailing address
201 REMINGTON CT, KINGSPORT, TN 37663-3496
(423) 863-8037
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
8077
TN
2084P0805X
Geriatric Psychiatry Physician
8077
TN
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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