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Individual

JESSIE LEE DICKERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MSN, CWON, CFNN

Contact information

Practice address
700 19TH ST S, BIRMINGHAM, AL 35233-1927
(205) 933-8101
(205) 558-7022
Mailing address
100 BLACKBERRY LN, BIRMINGHAM, AL 35214-3614
(205) 798-7824
(205) 558-7055

Taxonomy

Speciality
Code
Description
License number
State
163WE0900X
Enterostomal Therapy Registered Nurse
Primary
1-036245
AL

Other

Enumeration date
10/11/2006
Last updated
07/08/2007
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