Individual
JILL M DICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
350 GARNER DRIVE, MOGADORE, OH 44260-4426
(330) 571-3609
Mailing address
350 GARNER DR, MOGADORE, OH 44260-1555
(330) 571-3609
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.0035501
OH
Other
Enumeration date
12/06/2023
Last updated
11/14/2024
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