Dickerson, Jessalyn

Dickerson, Jessalyn is an individual health care provider with primary practice located at 2508 Xenia St , Plainview TX 79072-1818. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Dickerson, Jessalyn can be contacted via phone (806) 291-5170.

Contact Information

Primary practice address
2508 Xenia St Plainview TX 79072-1818
Phone: (806) 291-5170
Fax: (806) 291-5171
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 0126001898 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA12907 Texas

Profile Details

NPI number 1225428105
LBN Legal business name Dickerson, Jessalyn
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2015
Last updated Jun 27th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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