Mrs. Jolene M. Dickerson
Nurse Practitioner Nurse Practitioner - Neonatal Nurse Practitioner - Neonatal (Critical Care)
Nemours Pediatrics Milford 703 N. Dupont Highway
Milford
, Delaware 19963-1003
Mrs. Jolene M. Dickerson
Nurse Practitioner Nurse Practitioner - Neonatal Nurse Practitioner - Neonatal (Critical Care)
Nemours Pediatrics Milford 703 N. Dupont Highway
Milford
, Delaware 19963-1003
(302) 651-4945
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Neonatal
- Nurse Practitioner - Neonatal (Critical Care)
Languages spoken
- English
Location
First Address
- Mrs. Jolene M. Dickerson
- Po Box 191 Provider Enrollment Dept
- Rockland, DE
- Zip : 19732-0191
- Fax : (302) 651-4945
- Phone : (302) 651-6212
Second Address
- Mrs. Jolene M. Dickerson
- Nemours Pediatrics Milford 703 N. Dupont Highway
- Milford, DE
- Zip : 19963-1003
- Fax : (302) 422-4082
- Phone : (302) 422-4559
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | LJ0000236 | DE |
| N | 363LN0000X | Nurse Practitioner - Neonatal | LJ0000236 | DE |
| N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | LJ0000236 | DE |
National Provider Identifier
| NPI | 1104945344 |
|---|---|
| Provider Name | Mrs. Jolene M. Dickerson |
| First Address | Rockland, DE 19732-0191 |
| Second Address | Milford, DE 19963-1003 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/03/2007 |
| Last Update Date | 14/09/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0127787 | (05) | NJ |
| 4129831 | (05) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.