Individual
KRISTEN P DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
106 TRI STATE DR, SAREPTA, LA 71071-2826
(318) 994-2266
(318) 539-9177
Mailing address
106 TRI STATE DR, SAREPTA, LA 71071-2826
(318) 994-2266
(318) 539-9177
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
05546
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1325422
—
LA
Enumeration date
05/21/2008
Last updated
05/20/2021
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