Individual provider · Type 1 NPI
Jenna Dickson
Nurse Practitioner · Cleveland, TN
Practice location
2700 Westside Dr NW Ste 306
Cleveland, TN 37312-3699
Mailing address
6130 Shallowford Rd Ste 101
Chattanooga, TN 37421-7222
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Nurse Practitioner Primary | 363L00000X | 30120 (TN) |
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 1457974404
Jenna Dickson's National Provider Identifier is 1457974404, issued on May 26, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Cleveland, TN. The record was last updated on Mar 4, 2025.