Individual provider · Type 1 NPI

Autumn Michelle Dickerson

Student in an Organized Health Care Education/Training Program · Bryan, TX

NPI number 1962262907 Active

Practice location

2900 E 29th St Ste 100
Bryan, TX 77802-2623

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1962262907

Autumn Michelle Dickerson's National Provider Identifier is 1962262907, issued on Mar 19, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bryan, TX. The record was last updated on Mar 19, 2024.