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Individual

PATTY LYNN DICKSON

Active
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Individual

PATTY LYNN DICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
17138
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1532599
TN
01
6001962
BCBS
TN
01
P01210054
RR MEDICARE
TN
Enumeration date
11/30/2012
Last updated
09/10/2019
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