Individual
MARY NOEL DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6051 U S HIGHWAY 49, HATTIESBURG, MS 39401-7200
(601) 288-7000
Mailing address
6051 U S HIGHWAY 49, HATTIESBURG, MS 39401-7200
(601) 288-7000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
908181
MS
363L00000X
Nurse Practitioner
Primary
905670
MS
Other
Enumeration date
02/08/2021
Last updated
04/19/2023
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