Individual
WHITNEY ANNE DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
2322 S MAIN ST, FORT SCOTT, KS 66701-3026
(888) 777-9170
Mailing address
PO BOX 1832, PITTSBURG, KS 66762-1832
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
130840
KS
163W00000X
Registered Nurse
2019007730
MO
363LF0000X
Family Nurse Practitioner
2021021278
MO
363LF0000X
Family Nurse Practitioner
Primary
80316
KS
Other
Enumeration date
07/28/2020
Last updated
03/06/2024
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