Individual
JILL THERESA DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS-MS
Contact information
Practice address
7700 FLOYD CURL DR, SAN ANTONIO, TX 78229-3979
(210) 575-4897
Mailing address
6215 WELLES BROOK DR, SAN ANTONIO, TX 78240-2106
(210) 575-4897
Taxonomy
Speciality
Code
Description
License number
State
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
544771
TX
Other
Enumeration date
04/05/2007
Last updated
07/08/2007
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