Dickerson, Ninetta Simone

Dickerson, Ninetta Simone is an individual health care provider with primary practice located at 101 Carnie Blvd , Voorhees NJ 08043-1548. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Dickerson, Ninetta Simone can be contacted via phone (856) 325-3831.

Contact Information

Primary practice address
101 Carnie Blvd Voorhees NJ 08043-1548
Fax: (856) 325-3750
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 26NN09345400 New Jersey

Profile Details

NPI number 1932312717
LBN Legal business name Dickerson, Ninetta Simone
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Mar 4th, 2010 - about 16 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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