Individual provider · Type 1 NPI

Breeana Dickson

Nurse Practitioner · Hackensack, NJ

NPI number 1003630468 Active

Practice location

2 University Plz Ste 204
Hackensack, NJ 07601-6211

Mailing address

4 James Ct
West Orange, NJ 07052-6201

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X26NJ15187700 (NJ)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1003630468

Breeana Dickson's National Provider Identifier is 1003630468, issued on Nov 12, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Hackensack, NJ. The record was last updated on Nov 12, 2024.