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Beth Lynn Dickerson, NP
Pediatric Nurse Practitioner in Seneca, South Carolina
NPI 1700949120

Beth Lynn Dickerson is a Pediatric Nurse Practitioner based in Greenville, SC and is specialized in Pediatrics. Beth Lynn Dickerson practices in Seneca, SC and has the professional credentials of NP. The NPI Number for Beth Lynn Dickerson is 1700949120 and holds a License No. 300251 (South Carolina).

The current practice location address for Beth Lynn Dickerson is 111 Omni Drive, Seneca, SC and can be reached out via phone at 864-888-4222 and via fax at 864-888-0023.

Location: 111 Omni Drive, Seneca, SC, 29601-2842
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700949120
Provider Name
Beth Lynn Dickerson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
111 Omni Drive, Seneca, SC, 29601-2842
Phone Number
864-888-4222
Fax Number
864-888-0023
Provider Enumeration Date
12/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP1107 05 SC
institution
Provider Business Practice Location Address Details
Address
111 Omni Drive
City
Seneca
State
South Carolina
Zip
29672-9448
Phone Number
864-888-4222
Fax Number
864-888-0023
person
Provider Business Mailing Address Details
Address
111 Omni Drive
City
Seneca
State
South Carolina
Zip
29672-9448
Phone Number
864-888-4222
Fax Number
864-888-0023
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
18068 (South Carolina)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
300251 (North Carolina)
Definition
Definition to come...
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