Individual provider · Type 1 NPI

Jeffry Alan Dickerson, FNP

Nurse Practitioner · San Antonio, TX

NPI number 1699070144 Active

Practice location

3903 Wiseman Blvd, Ste 311
San Antonio, TX 78251-4422

Call (210) 615-1901 Map

Fax (210) 615-1905

Mailing address

P.o. Box 117614
Carrollton, TX 75011-4422

Other practice locations

  • 12602 Toepperwein Rd Ste 218, Live Oak, TX 78233-3271 · (210) 615-1901
  • 3603 Paesanos Pkwy, Ste 205A, San Antonio, TX 78231-1227 · (210) 615-1901

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAP118266 (TX)
Nurse Practitioner Primary 363L00000XAP118266 (TX)

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 1699070144

Jeffry Alan Dickerson, FNP's National Provider Identifier is 1699070144, issued on Jan 13, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in San Antonio, TX. The record was last updated on Jun 14, 2021.