Individual
JENNIFER A DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(567) 241-7000
(567) 241-7523
Mailing address
5400 FRANTZ RD STE 250, DUBLIN, OH 43016-6102
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35.082960
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2826820
—
OH
Enumeration date
04/04/2007
Last updated
01/25/2022
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