Individual provider · Type 1 NPI
Laura Renee Dickerson, DNP, FNP-BC
Family Nurse Practitioner · Byron, IL
NPI number
1710694401
Active
Practice location
404 W Blackhawk Dr Lowr Level
Byron, IL 61010-7500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 041.428105 (IL) |
| Family Nurse Practitioner Primary | 363LF0000X | 209.026248 (IL) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Byron
About NPI 1710694401
Laura Renee Dickerson, DNP, FNP-BC's National Provider Identifier is 1710694401, issued on Nov 1, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Byron, IL. The record was last updated on Dec 27, 2023.