Individual
BRIDIE C DICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
215 TELLY RD, PICAYUNE, MS 39466-5363
(769) 926-2005
Mailing address
215 TELLY RD, PICAYUNE, MS 39466-5363
(769) 926-2005
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
908478
MS
Other
Enumeration date
06/09/2026
Last updated
06/10/2026
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