Dickerson, Jolene M.

Dickerson, Jolene M. is an individual health care provider with primary practice located at Nemours Pediatrics Milford 703 N. Dupont Highway, Milford DE 19963-1003. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Dickerson, Jolene M. can be contacted via phone (302) 422-4559.

Contact Information

Primary practice address
Nemours Pediatrics Milford 703 N. Dupont Highway Milford DE 19963-1003
Phone: (302) 422-4559
Fax: (302) 422-4082
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X LJ0000236 Delaware
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X LJ0000236 Delaware
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X LJ0000236 Delaware

Profile Details

NPI number 1104945344
LBN Legal business name Dickerson, Jolene M.
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Sep 14th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104945344 NPPES
New Jersey MEDICAID 0127787
New Jersey MEDICAID 4129831

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