Individual provider · Type 1 NPI
Jessie Lee Dickerson, RN, MSN, CWON, CFNN
Enterostomal Therapy Registered Nurse · Birmingham, AL
NPI number
1679661037
Active
Practice location
700 19th St S
Birmingham, AL 35233-1927
Fax (205) 558-7022
Mailing address
100 Blackberry Ln
Birmingham, AL 35214-3614
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Enterostomal Therapy Registered Nurse Primary | 163WE0900X | 1-036245 (AL) |
Enterostomal Therapy Registered Nurse: Definition to come...
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About NPI 1679661037
Jessie Lee Dickerson, RN, MSN, CWON, CFNN's National Provider Identifier is 1679661037, issued on Oct 11, 2006. The primary taxonomy on file is Enterostomal Therapy Registered Nurse (163WE0900X), and the practice location is in Birmingham, AL. The record was last updated on Jul 8, 2007.