Individual
NINETTA SIMONE DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
101 CARNIE BLVD, VOORHEES, NJ 08043-1548
(856) 325-3831
(856) 325-3750
Mailing address
101 CARNIE BLVD, VOORHEES, NJ 08043-1548
(856) 782-3300
(856) 504-8029
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
26NN09345400
NJ
Other
Enumeration date
05/08/2007
Last updated
03/04/2010
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