Individual
CHRISTINE ANN DICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5149 N 9TH AVE STE 120, PENSACOLA, FL 32504-8734
(850) 479-1805
(850) 479-1829
Mailing address
PO BOX 11982, PENSACOLA, FL 32524-1982
(850) 479-1805
(850) 479-1829
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9303599
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023991100
—
FL
Enumeration date
02/06/2018
Last updated
07/10/2019
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