Individual
MS. DONNA MARIE DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-C MSN
Contact information
Practice address
1628 CROSSVINE CT, TRINITY, FL 34655-4903
(727) 688-4400
(813) 745-8327
Mailing address
1628 CROSSVINE CT, TRINITY, FL 34655-4903
(727) 688-4400
(813) 745-8327
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2915462
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001667500
—
FL
Enumeration date
02/13/2008
Last updated
06/11/2012
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