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Jacob Edward Dickerson, DNAP
Certified Registered Nurse Anesthetist in Tahlequah, Oklahoma
NPI 1013659960

Jacob Edward Dickerson is a Certified Registered Nurse Anesthetist based in Welling, OK. Jacob Edward Dickerson practices in Tahlequah, OK and has the professional credentials of DNAP. The NPI Number for Jacob Edward Dickerson is 1013659960 and holds a License No. (Oklahoma).

The current practice location address for Jacob Edward Dickerson is 100 S Bliss Ave, Tahlequah, OK and can be reached out via phone at 918-458-3100. You can also correspond with Jacob Edward Dickerson through the mailing address at 21781 E 785 RD, WELLING, OK - 74471-2035 (mailing address contact number: 918-457-6922).

Location: 100 S Bliss Ave, Tahlequah, OK, 74471-2035
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013659960
Provider Name
Jacob Edward Dickerson
Credential
DNAP
Provider Entity Type
Individual
Gender
Male
Address
100 S Bliss Ave, Tahlequah, OK, 74471-2035
Phone Number
918-458-3100
Fax Number
Provider Enumeration Date
04/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 S Bliss Ave
City
Tahlequah
State
Oklahoma
Zip
74464-2512
Phone Number
918-458-3100
Fax Number
person
Provider Business Mailing Address Details
Address
100 S Bliss Ave
City
Tahlequah
State
Oklahoma
Zip
74464-2512
Phone Number
918-458-3100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
208980 (Oklahoma)
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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