Individual
TAWANA ROSE DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN FNP-C
Contact information
Practice address
2645 MERIDIAN PKWY STE 323, DURHAM, NC 27713-4232
(984) 227-8902
Mailing address
380 KNOLLWOOD ST STE 505, WINSTON SALEM, NC 27103-1884
(336) 934-4333
(855) 299-2182
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
PENDING
NC
363LF0000X
Family Nurse Practitioner
5003116
NC
Other
Enumeration date
06/08/2007
Last updated
03/01/2021
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