Individual
MRS. JUDITH LYNN DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
265 WESTERN AVE, SOUTH PORTLAND, ME 04106-2458
(207) 661-0200
Mailing address
12 TAMMY LN, WINDHAM, ME 04062-4934
(207) 807-4500
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
CNP231487
ME
Other
Enumeration date
03/04/2024
Last updated
03/19/2024
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