Individual provider · Type 1 NPI

Mary Noel Dickerson, FNP

Nurse Practitioner · Hattiesburg, MS

NPI number 1790377018 Active

Practice location

6051 U S Highway 49
Hattiesburg, MS 39401-7200

Call (601) 288-7000 Map

Other practice locations

  • 4210 Lincoln Rd, Hattiesburg, MS 39402-3093 · (601) 261-3500

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X908181 (MS)
Nurse Practitioner Primary 363L00000X905670 (MS)

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 1790377018

Mary Noel Dickerson, FNP's National Provider Identifier is 1790377018, issued on Feb 8, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Hattiesburg, MS. The record was last updated on Apr 19, 2023.