Dickson, Jacqualine Drake

Dickson, Jacqualine Drake is an sole proprietor health care provider with primary practice located at 526 Halle Park Dr , Collierville TN 38017-7085. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dickson, Jacqualine Drake can be contacted via phone (901) 910-3246.

Contact Information

Primary practice address
526 Halle Park Dr Collierville TN 38017-7085
Phone: (901) 910-3246
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000024154 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 902387 Mississippi

Profile Details

NPI number 1124586995
LBN Legal business name Dickson, Jacqualine Drake
Credentials FNP - C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 11th, 2019
Last updated Feb 19th, 2021 - about 5 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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