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Dr. Michael Ray Dickerson, DNP
Family Nurse Practitioner in Springfield, Missouri
NPI 1447934526

Michael Ray Dickerson is a Family Nurse Practitioner based in Prairie Village, MO and is specialized in Family. Michael Ray Dickerson practices in Springfield, MO and has the professional credentials of DNP. The NPI Number for Michael Ray Dickerson is 1447934526 and holds a License No. 53-82295-122 (Missouri).

The current practice location address for Michael Ray Dickerson is 3900 S Lone Pine Ave Apt C208, Springfield, MO and can be reached out via phone at 417-988-7166.

Location: 3900 S Lone Pine Ave Apt C208, Springfield, MO, 66208-3713
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447934526
Provider Name
Michael Ray Dickerson
Credential
DNP
Provider Entity Type
Individual
Gender
Male
Address
3900 S Lone Pine Ave Apt C208, Springfield, MO, 66208-3713
Phone Number
417-988-7166
Fax Number
Provider Enumeration Date
06/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3900 S Lone Pine Ave Apt C208
City
Springfield
State
Missouri
Zip
65804-6832
Phone Number
417-988-7166
Fax Number
person
Provider Business Mailing Address Details
Address
3900 S Lone Pine Ave Apt C208
City
Springfield
State
Missouri
Zip
65804-6832
Phone Number
417-988-7166
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
53-82295-122 (Kansas)
Definition
Definition to come...
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