Individual
JENNA RAE DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1346 BELMONT AVE STE 602, SALISBURY, MD 21804-4589
(443) 978-7317
Mailing address
1346 BELMONT AVE STE 602, SALISBURY, MD 21804-4589
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AC004258
MD
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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