Individual provider · Type 1 NPI

Jacob Edward Dickerson, DNAP

Certified Registered Nurse Anesthetist · Tahlequah, OK

NPI number 1013659960 Active

Practice location

100 S Bliss Ave
Tahlequah, OK 74464-2512

Mailing address

21781 E 785 Rd
Welling, OK 74471-2035

Other practice locations

  • 901 S National Ave, Springfield, MO 65897-0001 · (417) 836-5000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Certified Registered Nurse Anesthetist Primary 367500000X208980 (OK)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1013659960

Jacob Edward Dickerson, DNAP's National Provider Identifier is 1013659960, issued on Apr 11, 2022. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Tahlequah, OK. The record was last updated on Jul 10, 2022.