Dickerson, Sara

Dickerson, Sara is an individual health care provider with primary practice located at 29984 Ellensburg Ave , Gold Beach OR 97444. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Wound Care, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Dickerson, Sara can be contacted via phone (541) 247-7084.

Contact Information

Primary practice address
29984 Ellensburg Ave Gold Beach OR 97444
Phone: (541) 247-7084
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Wound Care 163WW0000X 201041867RN Oregon
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X F06192407 Oregon

Profile Details

NPI number 1659616571
LBN Legal business name Dickerson, Sara
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2012
Last updated Oct 27th, 2020 - about 6 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 1659616571 NPPES
Other F06192407 AMERICAN ACADEMY OF NURSE PRACTIONERS

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