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Heather A Dickerson, NP
Family Nurse Practitioner in Bloomington, Indiana
NPI 1093599276

Heather A Dickerson is a Family Nurse Practitioner based in Greenwood, IN and is specialized in Family. Heather A Dickerson practices in Bloomington, IN and has the professional credentials of NP. The NPI Number for Heather A Dickerson is 1093599276 and holds a License No. 28179813A (Indiana).

The current practice location address for Heather A Dickerson is 5921 W State Road 46, Bloomington, IN and can be reached out via phone at 812-835-8866.

Location: 5921 W State Road 46, Bloomington, IN, 46143-6262
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093599276
Provider Name
Heather A Dickerson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
5921 W State Road 46, Bloomington, IN, 46143-6262
Phone Number
812-835-8866
Fax Number
Provider Enumeration Date
08/21/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300082939 05 IN
institution
Provider Business Practice Location Address Details
Address
5921 W State Road 46
City
Bloomington
State
Indiana
Zip
47404-9359
Phone Number
812-835-8866
Fax Number
person
Provider Business Mailing Address Details
Address
5921 W State Road 46
City
Bloomington
State
Indiana
Zip
47404-9359
Phone Number
812-835-8866
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
71014255A (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
28179813A (Indiana)
Definition
Definition to come...
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