Individual
CHRISTINE LUCIE DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2115 S FREMONT AVE STE 2900, SPRINGFIELD, MO 65804-2233
(417) 820-3535
Mailing address
2115 S FREMONT AVE STE 2900, SPRINGFIELD, MO 65804-2233
(417) 820-3535
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2015020184
MO
363LF0000X
Family Nurse Practitioner
Primary
2019038980
MO
Other
Enumeration date
09/06/2019
Last updated
11/03/2021
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