NPI 1427290337 · live from the CMS NPI Registry
Rebecca Rae Dickerson, CRNP
Nurse Practitioner, Family in Madison, AL. National Provider Identifier 1427290337, active.
NPI record
| NPI | 1427290337 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 12060 County Line Rd, Suite D, Madison, AL 35756 |
| Practice phone | 256-232-0475 |
| Enumerated | March 24, 2009 |
| Last updated | March 12, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 1-093181 (AL) |
| Nurse Practitioner, Pediatrics | 363LP0200X | 1-093181 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.