Individual
TERESA L DICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC WHNP
Contact information
Practice address
1000 E PRIMROSE ST, SUITE 400, SPRINGFIELD, MO 65807-5154
(417) 269-7900
(417) 269-7990
Mailing address
PO BOX 9007, SPRINGFIELD, MO 65808-9007
(417) 875-3000
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
13277
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821020801
—
MO
05
—
424953107
—
MO
Enumeration date
07/07/2006
Last updated
09/22/2016
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